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MINNOLA RESIDENTIAL CARE SERVICES,LLC
NPI 1417308172
Nursing Care in Memphis, TN

Active since June 23, 2016
4264 GENYTH AVE, MEMPHIS, TN 38128(901) 857-6635 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Minnola Residential Care Services,llc NPPES

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

MINNOLA RESIDENTIAL CARE SERVICES,LLC (NPI 1417308172) is a healthcare organization registered as a nursing care in Memphis, Tennessee and active in the NPI registry since June 2016. The organization lists Terethra Harris, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1417308172
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameMINNOLA RESIDENTIAL CARE SERVICES,LLC
Location Address4264 GENYTH AVEMemphis, TN 38128-3212
Mailing Address4264 Genyth AveMemphis, TN 38128-3212 · (901) 857-6635
Phone(901) 857-6635
Organization SubpartNo
Authorized OfficialTerethra HarrisOwner/director · (901) 857-6635
Enumeration DateJune 23, 2016
✔ NPI 1417308172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in TN · 1000000018260
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
4264 GENYTH AVE, Memphis, TN 38128
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Other Identifiers 1

MedicaidQ021859TN

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 Minnola Residential Care Services,llc's NPI number?

The NPI number for Minnola Residential Care Services,llc is 1417308172. It was assigned to this organization in the NPPES registry on June 23, 2016.

Where is Minnola Residential Care Services,llc located?

Minnola Residential Care Services,llc is located at 4264 Genyth Ave, Memphis, TN 38128. The listed phone number is (901) 857-6635.

What is Minnola Residential Care Services,llc's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Minnola Residential Care Services,llc was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.