Organization
BAPTIST MEMORIAL HOME CARE INC
Active
Parent organization
BAPTIST MEMORIAL HEALTH CARE CORP.
Other names
Baptist Trinity HomeCare & Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST MEMORIAL HEALTH CARE CORP.
Authorized official
GREGORY DUCKETT (SR VP/ CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
6141 WALNUT GROVE RD, MEMPHIS, TN 38120-2179
(901) 767-6767
Mailing address
6141 WALNUT GROVE RD, MEMPHIS, TN 38120-2179
(901) 767-6767
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
0000000354
TN
251J00000X
Nursing Care Agency
Primary
0000000242
TN
251J00000X
Nursing Care Agency
L4380866324
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0187373
TN BLUE CROSS
TN
01
—
3874
TENNCARE PROV NUMBER MCO
TN
Enumeration date
03/08/2007
Last updated
10/05/2020
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