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Contact Information

AVE MARIA HOME
2805 CHARLES BRYAN RD
MEMPHIS, TN38134-4756
 Phone: 901-386-3211
 Fax: 901-405-3783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for AVE MARIA HOME

NPI Number 1831250604
LBN Legal business name AVE MARIA HOME
Authorized official FRANK GATTUSO - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 02/02/2009 - About 17 years ago
Identifiers
TN License # 0000000232
TN Medicaid 7440499
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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