MELISSA SMITH
NPI 1669067575
Custodial Care Facility - Adult Care Home in Memphis, TN
- Individual
- Female
- Custodial Care Facility
- Adult Care Home
About MELISSA SMITH
This page provides the complete NPI Profile along with additional information for Melissa Smith, a provider established in Memphis, Tennessee with a medical specialization in Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1669067575 assigned on March 2021. The practitioner's primary taxonomy code is 311ZA0620X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1669067575 Verify this NPI
- Provider Name
- MELISSA SMITH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 97 SILVERAGE AVE MEMPHIS, TN 38109
- Location Phone
- (901) 435-6138
- Mailing Address
- 97 SILVERAGE AVE MEMPHIS, TN 38109
- Mailing Phone
- (901) 378-4004
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-02-2021
- Last Update Date
- 11-12-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Custodial Care Facility Adult Care Home
- Taxonomy Code
- 311ZA0620X
- Type
- Nursing & Custodial Care Facilities
- License State
- TN
- Taxonomy Description
- A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 172A00000X | Other Service Providers | Driver | (TN) |
| 2 | 253Z00000X | Agencies | In Home Supportive Care | |
| 3 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | (TN) |
| 4 | 347C00000X | Transportation Services | Private Vehicle | (TN) |
| 5 | 3747A0650X | Nursing Service Related Providers | Technician | (TN) |
| 6 | 3747P1801X | Nursing Service Related Providers | Technician | (TN) |
| 7 | 376G00000X | Nursing Service Related Providers | Nursing Home Administrator | 4352 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q006138 | MEDICAID (05) | TN |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669067575, enumerated as an "individual" on March 02, 2021.
The provider is located at 97 SILVERAGE AVE MEMPHIS, TN 38109 and the phone number is (901) 435-6138.
Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
