HUDSPETH REGIONAL CENTER (NPI# 1043536535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043536535 |
| Entity Type | Organization |
| Organization Name | HUDSPETH REGIONAL CENTER |
| Other Organization Name | HRC EIP |
| Practice Address |
Highway 475 South Whitfield MS 39193 |
| Mailing Address |
Po Box 127b Whitfield MS 39193-1032 |
| Practice Telephone | 6016646049 |
| Practice Fax Number | 6013546945 |
| Mailing Telephone | 6016646049 |
| Mailing Fax Number | 6013546945 |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2010-04-09 |
| Authorized Official Name | TRUDY F SHOEMAKER (ACCOUNTS PAYABLE SUPERVISOR) |
| Authorized Official Telephone | 6016646049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015377 | 05 |
| Other Name | Type Code |
|---|---|
| HRC EIP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| 1841513280 | Hudspeth Regional Center | Case Management | Highway 475 South, Whitfield, MS 39193-1032 | 2010-03-11 |
| 1205159746 | Hudspeth Regional Center | In Home Supportive Care | Highway 475 South, Whitfield, MS 39193 | 2010-03-11 |
| Street Address |
HIGHWAY 475 SOUTH |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| 1801186770 | Stephanie Harris | Dentist | Highway 475 South, Whitfield, MS 39193-1032 | 2011-04-13 |
| 1841513280 | Hudspeth Regional Center | Case Management | Highway 475 South, Whitfield, MS 39193-1032 | 2010-03-11 |
| 1205159746 | Hudspeth Regional Center | In Home Supportive Care | Highway 475 South, Whitfield, MS 39193 | 2010-03-11 |
| 1518142041 | Andre Paul Buteau | Psychologist | Highway 475 South, Hudspeth Regional Center, Whitfield, MS 39193-1032 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1356482459 | Khaled Nadim Abu-hamdan | Psychiatry & Neurology | 3550 Highway 468 West, Whitfield, MS 39193 | 2007-02-09 |
| 1841633260 | Andrea M. Walls | Case Manager/Care Coordinator | 3550 Highway, 468 West, Fiscal Services, Whitfield, MS 39193-0157 | 2013-04-16 |
| Find all providers in zip 39193 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700367174 | Heavenly Angels LLC | Custodial Care Facility | 1333 E Broad St, West Point, MS 39773-3180 | 2018-08-23 |
| 1083098438 | Nellie Turner | Custodial Care Facility | 222 Mount Williams Rd, Taylorsville, MS 39168-4408 | 2015-07-15 |
| 1841572393 | Ga Stover Health Center Pa | Custodial Care Facility | 226 E Main St Ste K, Senatobia, MS 38668-2133 | 2011-09-11 |
| 1588967897 | Pandora Johnson | Custodial Care Facility | 128 Cherry Ct, Gulfport, MS 39501-8601 | 2010-12-08 |
| 1891979878 | Dogwood Homeplace | Custodial Care Facility | 200 Knight Dr, Saltillo, MS 38866-9182 | 2007-12-26 |
| 1902004013 | Dorothy Jeanette Jones | Custodial Care Facility | 1004 College St, Port Gibson, MS 39150-2434 | 2007-07-10 |
| 1417398520 | At Home Care, Inc. | Custodial Care Facility | 5015 I 55 N, Jackson, MS 39206-4306 | 2013-07-17 |
| 1245415058 | Advanced Nursing, Inc. | Custodial Care Facility | 119 W Presley Blvd, Suite C, Mccomb, MS 39648-5534 | 2007-12-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.