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MID SOUTH SUPPORTIVE LIVING, LLC
NPI 1679604458
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Memphis, TN

Active since March 07, 2007
2600 POPLAR AVE, SUITE 223, MEMPHIS, TN 38112(901) 458-1181(901) 324-9669 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid South Supportive Living, Llc NPPES

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

MID SOUTH SUPPORTIVE LIVING, LLC (NPI 1679604458) 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 March 2007. The organization lists David Gayden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679604458
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMID SOUTH SUPPORTIVE LIVING, LLC
Location Address2600 POPLAR AVE, SUITE 223Memphis, TN 38112-3851
Mailing Address2600 Poplar Ave, Suite 223Memphis, TN 38112-3851 · (901) 458-1181 · Fax (901) 324-9669
Phone(901) 458-1181
Fax(901) 324-9669
Organization SubpartNo
Authorized OfficialDavid GaydenExecutive Director · (901) 458-1181
Enumeration DateMarch 7, 2007
Last NPPES UpdateSeptember 3, 2009
✔ NPI 1679604458 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 · L 3(20)M2-046-6201
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.
2600 POPLAR AVE, Memphis, TN 38112
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Other Providers at the Same Location NPPES 10

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

MRS. KAROLE DENISE BLAKE-SHORTER LCSW
Social Worker (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112
Shelby County (901) 324-0686
METRO TRANSIT
Non-emergency Medical Transport (VAN)
2600 POPLAR AVE, SUITE 202
MEMPHIS, TN 38112
Shelby County (901) 209-4969
DR. HOWARD EUGENE NELSON PH.D.,LPC-MSHP, LCPT
Counselor (Pastoral)
2600 POPLAR AVE, SUITE 516
MEMPHIS, TN 38112
Shelby County (901) 240-2839
COMPREHENSIVE PROFESSIONAL SERVICES
Counselor (Mental Health)
2600 POPLAR AVE, SUITE 516
MEMPHIS, TN 38112
Shelby County (901) 458-7448
ELIZABETH HARCOURT LCSW
Social Worker (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112
Shelby County (901) 324-0686
K & S HOME HEALTH SERVICES
In Home Supportive Care
2600 POPLAR AVE, STE. 416
MEMPHIS, TN 38112
Shelby County (901) 581-0447
DR. ANGELA SANDERS PH.D.
Psychologist (Clinical)
2600 POPLAR AVE, SUITE 324
MEMPHIS, TN 38112
Shelby County (901) 324-0686
MS. SHARON ANNE CUMMINGS M,S.,CRC, LPC-MHSP
Counselor (Professional)
2600 POPLAR AVE, SUITE 516
MEMPHIS, TN 38112
Shelby County (901) 282-8360

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 Mid South Supportive Living, LLC's NPI number?

The NPI number for Mid South Supportive Living, LLC is 1679604458. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Mid South Supportive Living, LLC located?

Mid South Supportive Living, LLC is located at 2600 Poplar Ave Suite 223, Memphis, TN 38112. The listed phone number is (901) 458-1181.

What is Mid South Supportive Living, LLC'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 Mid South Supportive Living, LLC was last updated on September 3, 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.