Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Memory Lane at Home Agency LLC

Organization In Home Supportive Care Agency · NPI 1033083209

Memory Lane at Home Agency LLC is an In Home Supportive Care Agency in Memphis, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

254 Court Ave # 205
Memphis, TN 38103-2361
Phone: (901) 221-4430
Fax: (901) 207-8860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1033083209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tamara Clark — Owner · (901) 297-6113
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 5, 2025
Certification dateOctober 5, 2025
Mailing address254 Court Ave # 205, Memphis, TN 38103-2361

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