Organization
LEE HAMILTON CARE HOME
Active
Organization
LEE HAMILTON CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH WHITE SR. (OPERATIONS MANAGER)
(573) 481-5473
Entity
Organization
Contact information
Practice address
4615 DUNN AVE, MEMPHIS, TN 38117-6512
(573) 481-5473
(872) 312-0821
Mailing address
3340 GREENWAY DR, HORN LAKE, MS 38637-2642
(573) 481-5473
(872) 312-0821
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
11/15/2024
Last updated
07/29/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up