Individual
MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 SILVERAGE AVE, MEMPHIS, TN 38109-1823
(901) 435-6138
Mailing address
97 SILVERAGE AVE, MEMPHIS, TN 38109-1823
(901) 378-4004
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
TN
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
TN
311ZA0620X
Adult Care Home Facility
Primary
—
TN
347C00000X
Private Vehicle
—
TN
3747A0650X
Attendant Care Provider
—
TN
3747P1801X
Personal Care Attendant
—
TN
376G00000X
Nursing Home Administrator
4352
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q006138
—
TN
Enumeration date
03/02/2021
Last updated
11/12/2025
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