Fmsc Collierville Operating Company
Fmsc Collierville Operating Company is a healthcare organization registered as Skilled Nursing Facility in Collierville, TN, holding Type 2 (organization) NPI 1477525905 since 2006. The authorized official on file is Theodore Duay, Chief Financial Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477525905 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fmsc Collierville Operating Company |
| Other name | <Unavail> |
| Practice address | 490 W POPLAR AVE, Collierville, TN, 38017 |
| Phone | 3058921790 |
| Enumeration date | 2006-02-07 |
| Last updated in NPPES | 2009-12-03 |
Authorized official
| Name | Theodore Duay |
|---|---|
| Title | Chief Financial Officer |
| Phone | 7868883310 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 314000000 | TN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 744-0470 | Medicaid | TN | — |
Copy-ready billing details
Provider: Fmsc Collierville Operating Company NPI: 1477525905 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 490 W POPLAR AVE, Collierville, TN, 38017
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386693265 | Fmsc Collierville Operating Company LLC | Organization | Skilled Nursing Facility | Collierville, TN |
| 1407034556 | Poplar Oaks Rehabilitation and Healthcare Center, LLC | Organization | Skilled Nursing Facility | Collierville, TN |
| 1306262993 | Felesha Perry | Individual | Family Nurse Practitioner | Collierville, TN |
| 1114400975 | Collierville Nursing and Rehabilitation LLC | Organization | Skilled Nursing Facility | Collierville, TN |
| 1144869827 | Taylor Davis | Individual | Family Nurse Practitioner | Collierville, TN |
| 1548013592 | Latasha Carothers | Individual | Family Nurse Practitioner | Collierville, TN |
| 1396694188 | Tonie Mullen | Individual | Family Nurse Practitioner | Collierville, TN |
Verify this record
Cross-check NPI 1477525905 against the authoritative CMS record: view Fmsc Collierville Operating Company on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Fmsc Collierville Operating Company located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-03.