MIDSOUTH RESIDENTIAL CARE CENTER,INC.
NPI 1528397189
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

Q: What is Midsouth Residential Care Center,inc.'s specialty?

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

Active since December 10, 2009

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

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Midsouth Residential Care Center,inc. NPPES

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

MIDSOUTH RESIDENTIAL CARE CENTER,INC. (NPI 1528397189) 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 December 2009. The organization lists Gwen B Clark, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528397189

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameMIDSOUTH RESIDENTIAL CARE CENTER,INC.

Location Address1137 BREEDLOVE STMemphis, TN 38107-2101

Mailing AddressPo Box 280422Memphis, TN 38168-0422

Phone(901) 314-0146

Organization SubpartNo

Authorized OfficialGwen B ClarkAdministrator · (901) 314-0146

Enumeration DateDecember 10, 2009

✔ NPI 1528397189 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 · L000000003760

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.

MID SOUTH RESIDENTIAL CARE CENTER

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 Midsouth Residential Care Center,inc.'s NPI number?

The NPI number for Midsouth Residential Care Center,inc. is 1528397189. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Midsouth Residential Care Center,inc. located?

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

What is Midsouth Residential Care Center,inc.'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 Midsouth Residential Care Center,inc. was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.