Provider Demographics
NPI:1700917499
Name:AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC
Entity Type:Organization
Organization Name:AMERICARE SPECIALTY HOSPITAL OF MEMPHIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:HAMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-369-9180
Mailing Address - Street 1:3391 OLD GETWELL RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38118-3635
Mailing Address - Country:US
Mailing Address - Phone:901-369-9180
Mailing Address - Fax:901-367-8702
Practice Address - Street 1:3403 OLD GETWELL RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38118-3635
Practice Address - Country:US
Practice Address - Phone:901-369-9180
Practice Address - Fax:901-367-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital