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MALLORY'S HOME FOR THE AGED
NPI 1356675433
Community Based Residential Treatment Facility, Mental Illness in Memphis, TN

Active since September 23, 2009
207 WEST PERSON AVE, MEMPHIS, TN 38128(901) 503-1505(901) 937-4887 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2016, Aug 9, 2016 (2 updates tracked since 2016).

About Mallory's Home For The Aged NPPES

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

MALLORY'S HOME FOR THE AGED (NPI 1356675433) is a healthcare organization registered as a community based residential treatment facility, mental illness in Memphis, Tennessee and active in the NPI registry since September 2009. The organization lists Lacrecia Lashun Mcghee, Owner, as its authorized official.

NPPES Registry Identity

NPI1356675433
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMALLORY'S HOME FOR THE AGED
Location Address207 WEST PERSON AVEMemphis, TN 38128-4637
Mailing Address3123 Overbrook DrMemphis, TN 38128-4637 · (901) 503-1505 · Fax (901) 937-4887
Phone(901) 503-1505
Fax(901) 937-4887
Organization SubpartNo
Authorized OfficialLacrecia Lashun McgheeOwner · (901) 503-1505
Enumeration DateSeptember 23, 2009
Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration
✔ NPI 1356675433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

207 WEST PERSON AVE, Memphis, TN 38128
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Other Names 1

Other NameMallory's Home For The Aged

Other Identifiers 1

MedicaidH445602TN

Frequently Asked Questions

What is MALLORY'S HOME FOR THE AGED's NPI number?

The NPI number assigned to this healthcare provider is 1356675433, enumerated as an "organization" on September 23, 2009.

Where is the provider located?

The provider is located at 207 WEST PERSON AVE MEMPHIS, TN 38128 and the phone number is (901) 503-1505.

What is the provider's specialty?

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

What insurance does MALLORY'S HOME FOR THE AGED accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.