Provider Demographics
NPI:1497248090
Name:CATTLEYA HOME CARE AND STAFFING
Entity Type:Organization
Organization Name:CATTLEYA HOME CARE AND STAFFING
Other - Org Name:CATTLEYA HOME CARE AND STAFFING LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-490-5743
Mailing Address - Street 1:3461 CLOUDLAND DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-8127
Mailing Address - Country:US
Mailing Address - Phone:901-365-3715
Mailing Address - Fax:901-365-3715
Practice Address - Street 1:3461 CLOUDLAND DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-8127
Practice Address - Country:US
Practice Address - Phone:901-365-3715
Practice Address - Fax:901-365-3715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care