KEM'S HOUSE INC. NPI 1184001588

NPI Information

NPI: 1184001588
Provider Name: KEM'S HOUSE INC.
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
3030 COVINGTON PIKE
SUITE 241
MEMPHIS, TN
ZIP 38128
Phone: (901) 409-1785
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KEM'S HOUSE INC. is an adult day care clinic center in Memphis, TN. KEM'S HOUSE INC. NPI is 1184001588. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3030 COVINGTON PIKE
SUITE 241
MEMPHIS, TN
ZIP 38128-048
Phone: (901) 409-1785

The provider's authorized official is Kem Edwards .
The authorized official title is Executive Director and has the following contact phone number (901) 409-1785.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 1/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YM0800X	Counselor	Mental Health		No
2	171M00000X	Case Manager/Care Coordinator			No
3	174H00000X	Health Educator			No
4	251C00000X	Day Training, Developmentally Disabled Services			No
5	251V00000X	Voluntary or Charitable		TENNESSEE	No
6	252Y00000X	Early Intervention Provider Agency			No
7	261QA0600X	Clinic/Center	Adult Day Care		Yes
8	305S00000X	Point of Service			No
9	315P00000X	Intermediate Care Facility, Intellectual Disabilities			No
10	261QD1600X	Clinic/Center	Developmental Disabilities		No
11	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities			No
12	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			No
13	347C00000X	Private Vehicle			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q013714	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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