VICKSBURG FAMILY HOME CARE,LLC (NPI# 1396215984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396215984 |
| Entity Type | Organization |
| Organization Name | VICKSBURG FAMILY HOME CARE,LLC |
| Practice Address |
706 W Prairie St Vicksburg MI 49097-4909 |
| Mailing Address |
706 W Prairie St Vicksburg MI 49097 |
| Practice Telephone | 2694755211 |
| Practice Fax Number | 2693155100 |
| Mailing Telephone | 2694755211 |
| Mailing Fax Number | 2693155100 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Authorized Official Name | MR. TERRY L BARNES JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2694755211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Vicksburg Family Home Care | Other Name - Individual/Organization |
| Street Address |
706 W PRAIRIE ST |
| City | VICKSBURG |
| State | MI |
| Zip Code | 49097-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912132168 | Jo Lynne Kirchhoff | Pharmacist | 110 S. Main Streets, Vicksburg, MI 49097 | 2009-05-18 |
| 1558429605 | Ellen Marie Tavarone | Dentist | 602 West Prairie St, Vicksburg, MI 49097 | 2006-12-04 |
| 1598875601 | Robert L Dornbos Dds PC | Dentist | 102 S Main, Vicksburg, MI 49097 | 2006-08-30 |
| 1982680468 | Freds Super Pharmacy Inc | Pharmacy | 121 W Prairie St, Vicksburg, MI 49097 | 2005-12-16 |
| 1477853422 | South County Home Health Providers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 N 3rd St, Vicksburg, MI 49097-1017 | 2010-10-25 |
| 1023214921 | Aaron C Ford | Dentist | 602 W Prairie St, Vicksburg, MI 49097-1178 | 2007-06-26 |
| 1154573392 | Family & Children Services, Inc. | Clinic/Center | 101 S Main St, Vicksburg, MI 49097-1210 | 2008-10-21 |
| 1144756610 | Pamela Hendershot | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2017-05-03 |
| 1598990525 | Kelly Ann Soekarmoen | Pharmacist | 110 S Main St, Vicksburg, MI 49097-1211 | 2009-05-19 |
| 1184670085 | Hill's Pharmacy of Vicksburg, Inc. | Pharmacy | 110 S Main St, Vicksburg, MI 49097-1211 | 2006-05-25 |
| Find all providers in zip 49097 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589249 | Amedeo Home Care Services | In Home Supportive Care | 3111 Washington St, Vicksburg, MS 39180-4968 | 2020-08-17 |
| 1174132476 | Divine Home Care Changes | In Home Supportive Care | 106 Ethel Dr, Vicksburg, MS 39180-8905 | 2020-07-23 |
| 1720551740 | Maketta Jennings | In Home Supportive Care | 8677 Halls Ferry Rd, Vicksburg, MS 39180-7047 | 2019-01-03 |
| 1245740190 | Vicksburg Home Care | In Home Supportive Care | 3075 E Vw Ave, Vicksburg, MI 49097-7739 | 2017-10-05 |
| 1316314941 | Washington Home Health Agency, LLC | In Home Supportive Care | 3402 Wisconsin Ave Ste 10, Vicksburg, MS 39180-5378 | 2015-08-31 |
| 1346508090 | Private Home Care, Inc. | In Home Supportive Care | 1017 Jackson St, Vicksburg, MS 39183-2521 | 2012-05-01 |
| 1619243359 | Super Shots Mobile Flu Shot Clinic | In Home Supportive Care | 109 Belva Dr, Vicksburg, MS 39180-8928 | 2012-03-27 |
| 1427402163 | Senior Life LLC | In Home Supportive Care | 109 Belva Dr, Vicksburg, MS 39180-8928 | 2016-04-19 |
| 1558683805 | Always Home, LLC | In Home Supportive Care | 1905 Mission 66 # B, Suite 1, Vicksburg, MS 39180-3751 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
| 1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
| 1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
| 1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
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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.