MID SOUTH RESIDENTIAL CARE CENTER
NPI 1265737795
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

Q: What is Mid South Residential Care Center's NPI number?

The NPI number for Mid South Residential Care Center is 1265737795. It was assigned to this organization in the NPPES registry on January 13, 2011.

Q: What is Mid South Residential Care Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since January 13, 2011

1137 BREEDLOVE ST, MEMPHIS, TN 38107(901) 314-0146 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mid South Residential Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID SOUTH RESIDENTIAL CARE CENTER (NPI 1265737795) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Memphis, Tennessee and active in the NPI registry since January 2011. The organization lists Gwendolyn Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1265737795

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameMID SOUTH RESIDENTIAL CARE CENTER

Location Address1137 BREEDLOVE STMemphis, TN 38107-2101

Mailing AddressP.o. Box 280422Memphis, TN 38107 · (901) 314-0146

Phone(901) 314-0146

Organization SubpartNo

Authorized OfficialGwendolyn ClarkAdministrator · (901) 314-0146

Enumeration DateJanuary 13, 2011

✔ NPI 1265737795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in TN · I000000007899

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1137 BREEDLOVE ST, Memphis, TN 38107

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIDSOUTH RESIDENTIAL CARE CENTER,INC.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

1137 BREEDLOVE ST
MEMPHIS, TN 38107

Shelby County (901) 314-0146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid South Residential Care Center's NPI number?

The NPI number for Mid South Residential Care Center is 1265737795. It was assigned to this organization in the NPPES registry on January 13, 2011.

Where is Mid South Residential Care Center located?

Mid South Residential Care Center is located at 1137 Breedlove St, Memphis, TN 38107. The listed phone number is (901) 314-0146.

What is Mid South Residential Care Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Mid South Residential Care Center was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.