JACKSON MS HOMECARE (NPI# 1376152512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376152512 |
| Entity Type | Organization |
| Organization Name | JACKSON MS HOMECARE |
| Practice Address |
2625 Ridgewood Rd Ste 104 Jackson MS 39216-4900 |
| Practice Telephone | 6015005027 |
| Practice Fax Number | 6015007344 |
| Mailing Telephone | 6015005027 |
| Mailing Fax Number | 6015007344 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | CLIFTON REESE DANIELS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6015005027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Visiting Angels Jackson | Doing Business As Name - Organization |
| Street Address |
2625 RIDGEWOOD RD STE 104 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354435 | Jessica M Teets | Home Health Aide | 103 Holly Hill Dr, Jackson, OH 45640-1297 | 2020-10-21 |
| 1003413501 | Olusegun Elegbe | Home Health Aide | 38 Brookfield Dr, Jackson, NJ 08527-3897 | 2020-10-07 |
| 1184230229 | Tammy Louise Lavigne | Home Health Aide | 166 Woodland Way, Jackson, MS 39209-3566 | 2020-09-22 |
| 1821619669 | Kellie A Thomason-stacy | Home Health Aide | 1026 Kessinger School Rd, Jackson, OH 45640-8874 | 2020-05-04 |
| 1073142584 | Cameron R Johnson I | Home Health Aide | 2581 Cascade Creek Dr, Jackson, MI 49203-3771 | 2020-04-06 |
| 1275169435 | Quenntoria Simmons | Home Health Aide | 608 Queen Cir, Jackson, MS 39209-2213 | 2020-03-19 |
| 1881231132 | Lisa L Smoots-levy | Home Health Aide | 405 Briarwood Dr Ste 103h, Jackson, MS 39206-3029 | 2019-12-05 |
| 1750925772 | Tina Marie Stamps | Home Health Aide | 508 Clover Ridge Dr, Jackson, LA 70748-4361 | 2019-11-01 |
| 1366093635 | Minnie C Davis | Home Health Aide | 2871 Woodside Dr, Jackson, MS 39212-2617 | 2019-09-26 |
| 1417518929 | Teresa S Holmes | Home Health Aide | 3406 Redmond Ave, Jackson, MS 39213-5621 | 2019-06-25 |
| 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.