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GRACE HOUSE OF MEMPHIS INC. NPI 1841450210


NPI Information

NPI: 1841450210
Provider Name: GRACE HOUSE OF MEMPHIS, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 44D2209217

Address:
329 N BELLEVUE BLVD
MEMPHIS, TN
ZIP 38105
Phone: (901) 722-8460
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GRACE HOUSE OF MEMPHIS, INC. is a substance abuse rehabilitation facility in Memphis, TN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GRACE HOUSE OF MEMPHIS, INC. NPI is 1841450210. The provider is registered as an organization entity type.

The provider's business location address is:

329 N BELLEVUE BLVD
MEMPHIS, TN
ZIP 38105-306
Phone: (901) 722-8460
Fax: (901) 722-9023

The provider's authorized official is Sharon Trammell .
The authorized official title is Executive Director and has the following contact phone number (901) 722-8460.

The CLIA number assigned to this NPI record is 44D2209217 - other - long term care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility0000000011TENNESSEEYes

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

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