Shirley Spiller-johnson is a Nursing Home Administrator based in Memphis, TN. Shirley Spiller-johnson practices in Memphis, TN and has the professional credentials of ADMINISTRATOR/OPERAT. The NPI Number for Shirley Spiller-johnson is 1740678960 and holds a License No. 0000000565 (Tennessee).
The current practice location address for Shirley Spiller-johnson is 2051 Montreat Dr, Memphis, TN and can be reached out via phone at 901-598-7437 and via fax at 901-388-7366.
Location: 2051 Montreat Dr, Memphis, TN, 38134-6613
Provider Profile Details
NPI Number
1740678960
Provider Name
Shirley Spiller-johnson
Credential
ADMINISTRATOR/OPERAT
Provider Entity Type
Individual
Gender
Female
Address
2051 Montreat Dr, Memphis, TN, 38134-6613
Phone Number
901-598-7437
Fax Number
901-388-7366
Provider Enumeration Date
12/23/2014
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H445488 | 05 | TN |
Provider Business Practice Location Address Details
Address
2051 Montreat Dr
City
State
Zip
38134-6613
Phone Number
901-598-7437
Fax Number
901-388-7366
Provider Business Mailing Address Details
Address
2051 Montreat Dr
City
State
Zip
38134-6613
Phone Number
901-598-7437
Fax Number
901-388-7366
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
0000000565 (Tennessee)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
License No.
0000000565 (Tennessee)
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
0000000565 (Tennessee)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
Provider's Taxonomy Details 4
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
0000000565 (Tennessee)
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Provider's Taxonomy Details 5
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
License No.
0000000565 (Tennessee)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Provider's Taxonomy Details 6
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
License No.
0000000565 (Tennessee)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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