Provider Demographics
NPI:1184117731
Name:SUPPORTIVE IN-HOME CARE, INC
Entity type:Organization
Organization Name:SUPPORTIVE IN-HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SNEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-314-5499
Mailing Address - Street 1:4113 OVERTON CROSSING ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-3419
Mailing Address - Country:US
Mailing Address - Phone:901-314-5499
Mailing Address - Fax:
Practice Address - Street 1:4113 OVERTON CROSSING ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-3419
Practice Address - Country:US
Practice Address - Phone:901-314-5499
Practice Address - Fax:901-257-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNI000000022308372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty