Provider Demographics
NPI:1881041523
Name:ONE WHO CARES SENIOR CARE 1
Entity Type:Organization
Organization Name:ONE WHO CARES SENIOR CARE 1
Other - Org Name:LAUREN ALEXANDER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-690-3601
Mailing Address - Street 1:2689 STAGE COACH DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-4488
Mailing Address - Country:US
Mailing Address - Phone:901-690-3601
Mailing Address - Fax:901-388-7877
Practice Address - Street 1:2689 STAGE COACH DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-4488
Practice Address - Country:US
Practice Address - Phone:901-690-3601
Practice Address - Fax:901-388-7877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000018112251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ021395Medicaid