JAYTORIA WILKINS (NPI# 1346606191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346606191 |
Entity Type | Individual |
Full Name | JAYTORIA WILKINS |
Practice Address |
324 Mangum Ave Mendenhall MS 39114-3015 |
Practice Telephone | 6016757100 |
Practice Fax Number | 6016757007 |
Mailing Telephone | 6016757100 |
Mailing Fax Number | 6016757007 |
Enumeration Date | 2016-01-09 |
Last Update Date | 2016-01-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers |
Street Address |
324 MANGUM AVE |
City | MENDENHALL |
State | MS |
Zip Code | 39114-3015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710382619 | Patriot Home Care | Respite Care | 324 Mangum Ave, Mendenhall, MS 39114-3015 | 2014-11-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538593553 | Rita Seater Parker | Occupational Therapy Assistant | 925 West Mangum Blvd., Mendenhall, MS 39114 | 2013-08-27 |
1740573633 | Sheree Walters | Physical Therapy Assistant | 925 West Mangum Blvd, Mendenhall, MS 39114 | 2011-05-25 |
1346300423 | Amnuey M Chiemprabha Md Pa | Surgery | 820 Mangum Ave, Mendenhall, MS 39114 | 2006-12-11 |
1982620274 | Family Health Care Clinic, Inc. | Clinic/Center | 401 Main St N, Mendenhall, MS 39114 | 2006-07-13 |
1811318942 | Anna Lauren Wallace | Dietitian, Registered | 102 N. Main St., Mendenhall, MS 39114 | 2013-12-16 |
1639249568 | Glenn A Brien Sr. | Dentist | 122 Main St, Mendenhall, MS 39114 | 2006-11-08 |
1588106553 | 121 Medical Place, Inc | Clinic/Center | 820 Mangum Ave, Mendenhall, MS 39114-3025 | 2016-11-08 |
1497737571 | Bedford Care Center of Mendenhall, LLC | Skilled Nursing Facility | 925 Mangum Ave, Mendenhall, MS 39114-3026 | 2005-11-15 |
1396777231 | Freds Stores of Tennessee Inc | Pharmacy | 3050 Simpson Highway 13, Mendenhall, MS 39114-3075 | 2006-07-07 |
1265855316 | Robert Clifton Cross II | Counselor | 3112 Simpson Highway 13, Mendenhall, MS 39114-3076 | 2014-01-27 |
Find all providers in zip 39114 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689283806 | Gracious Blessings LLC | Adult Companion | 114 3rd Street, Osyka, MS 39657-3965 | 2020-07-23 |
1114579000 | Tambra Latrice Roberts | Adult Companion | 515 Hwy 178 East Hollysprings, Hollysprings, MS 38635-2523 | 2019-07-11 |
1871089797 | Levon Daniels | Adult Companion | 160 Broadway St Apt K7, Clinton, MS 39056-4842 | 2018-07-03 |
1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
1316452501 | Professional Staffing Solutions Adult Day Services, LLC | Adult Companion | 1633 Broadway Ext N # P, Greenville, MS 38703-1942 | 2017-12-09 |
1174037881 | Emma Womack | Adult Companion | 5430 Executive Pl Ste 2g, Jackson, MS 39206-4134 | 2017-11-17 |
1821501099 | Sunny Days At Home Healthcare, LLC | Adult Companion | 350 N Mart Plz Ste K, Jackson, MS 39206-5319 | 2017-11-09 |
1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
1497112700 | Angela Richburg | Adult Companion | 7285 Woolmarket Rd, H350, Biloxi, MS 39532-7846 | 2016-01-19 |
1992178958 | Angela Bratton | Adult Companion | 1219 Rockingham Dr, Clinton, MS 39056-3543 | 2015-11-12 |
Find all providers with the same taxonomy |
City | MENDENHALL |
Zip Code | 39114 |
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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.