DEMETRESS BRENT (NPI# 1215552005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215552005 |
| Entity Type | Individual |
| Full Name | DEMETRESS BRENT |
| Practice Address |
2941 Sheila Dr Jackson MS 39209-6125 |
| Practice Telephone | 6012787311 |
| Mailing Telephone | 6012787311 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
2941 SHEILA DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1518522135 | Nj Respite & Riding LLC | Respite Care | 240 Grawtown Rd, Jackson, NJ 08527-5107 | 2019-05-08 |
| 1336695543 | Wbf Choice Healthcare, Inc | Respite Care | 501 Jacksonian Plz, #12641, Jackson, MS 39211 | 2016-08-28 |
| 1427421387 | A Step Ahead Homecare LLC | Respite Care | 5040 N State St Ste 11, Jackson, MS 39206-4056 | 2015-11-01 |
| 1902272834 | Precision Care Service of Ms. | Respite Care | 2310 Highway 80 W Ste C1122, Jackson, MS 39204-2354 | 2015-08-14 |
| 1104201771 | Total Healthcare Network Inc. | Respite Care | 210 Cooper Rd, Jackson, MS 39212-4805 | 2015-07-24 |
| 1134533896 | Kiara Lashae Johnson | Respite Care | 4560 Methodist Home Rd, Jackson, MS 39213-4201 | 2014-06-19 |
| 1649603697 | Anointed Personal Care and Respite Services | Respite Care | 3800 Yarbro St Apt 305, Jackson, MS 39204-2119 | 2013-08-14 |
| 1124465547 | Christian Sitters | Respite Care | 5538 North State Street Ste 106, Jackson, MS 39206 | 2013-05-24 |
| 1891078135 | Senior Resources Healthcare Services,llc | Respite Care | 623 Orchid Ct, Jackson, MS 39206-2427 | 2011-09-22 |
| Find all providers in JACKSON | ||||
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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.