A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Adult Day Care |
261QA0600X | |||
Developmental Disabilities |
261QD1600X | |||
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Nurse's Aide |
376K00000X | |||
Respite Care |
385H00000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI Number | 1104702687 |
| LBN Legal business name | MIKEY'S MEMORY HCBS LLC |
| Authorized official | WILLIAM DODSON - (FOUNDER/CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/12/2025 |
| Last updated | 10/09/2025 - About 8 months ago |
| Identifiers | n/a |
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MIKEY'S MEMORY HCBS LLC
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