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DIVERSIFIED HEALTHCARE
NPI 1457634180
Clinic/Center - Primary Care in Memphis, TN

Active since September 20, 2011
6005 PARK AVE, SUITE 704, MEMPHIS, TN 38119(901) 684-4646(901) 684-4650 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diversified Healthcare NPPES

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

DIVERSIFIED HEALTHCARE (NPI 1457634180) is a healthcare organization registered as a primary care in Memphis, Tennessee and active in the NPI registry since September 2011. The organization lists Shrearest Mignon Crenshaw, Physician, as its authorized official.

NPPES Registry Identity

NPI1457634180
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDIVERSIFIED HEALTHCARE
Location Address6005 PARK AVE, SUITE 704Memphis, TN 38119-5202
Mailing Address6005 Park Ave, Suite 704Memphis, TN 38119-5202 · (901) 684-4646 · Fax (901) 684-4650
Phone(901) 684-4646
Fax(901) 684-4650
Organization SubpartNo
Authorized OfficialShrearest Mignon CrenshawPhysician · (901) 684-4646
Enumeration DateSeptember 20, 2011
✔ NPI 1457634180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TN · 39250
6005 PARK AVE, Memphis, TN 38119
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH61549TN

Other Providers at the Same Location NPPES 20

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

SILVER ANGELS OF TENNESSEE - SHELBY, LLC
In Home Supportive Care
6005 PARK AVE, SUITE 111
MEMPHIS, TN 38119
Shelby County (901) 791-2174
LEONARD HARVEY HINES MD
Surgery
6005 PARK AVE, SUITE 821-B
MEMPHIS, TN 38119
Shelby County (901) 726-1056
SCOLIOSIS & SPINE SURGERY CLINIC OF MEMPHIS PLLC
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
6005 PARK AVE, SUITE 400
MEMPHIS, TN 38119
Shelby County (901) 767-9500
FAMILY CANCER CENTER, PLLC
Internal Medicine (Hematology & Oncology)
6005 PARK AVE, 1000-B
MEMPHIS, TN 38119
Shelby County (901) 685-5655
MR. LOUIS DANIEL PAGANO SR. LICENSED OPTICIAN
Technician/Technologist (Optician)
6005 PARK AVE, SUITE #100 ST FRANCIS OPTICAL DISP
MEMPHIS, TN 38119
Shelby County (901) 761-2390
MARY HAMM LCSW
Social Worker (Clinical)
6005 PARK AVE
MEMPHIS, TN 38119
Shelby County (901) 767-1136
DR. RUTH ANNE BRIDGES
Anesthesiology
6005 PARK AVE
MEMPHIS, TN 38119
Shelby County (901) 682-2872
SUE STOVALL RN
Registered Nurse (Psychiatric/Mental Health)
6005 PARK AVE, SUITE 630B
MEMPHIS, TN 38119
Shelby County (901) 767-1136

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 Diversified Healthcare's NPI number?

The NPI number for Diversified Healthcare is 1457634180. It was assigned to this organization in the NPPES registry on September 20, 2011.

Where is Diversified Healthcare located?

Diversified Healthcare is located at 6005 Park Ave Suite 704, Memphis, TN 38119. The listed phone number is (901) 684-4646.

What is Diversified Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Diversified Healthcare was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.