MICK INC. (NPI# 1477876530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477876530 |
| Entity Type | Organization |
| Organization Name | MICK INC. |
| Practice Address |
334 Josanna Street Suite #209 Jackson MS 39202 |
| Practice Telephone | 6019746085 |
| Practice Fax Number | 6019746099 |
| Mailing Telephone | 6019746085 |
| Mailing Fax Number | 6019746099 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2011-06-27 |
| Authorized Official Name | MR. MICHAEL GRACE (MANAGER) |
| Authorized Official Telephone | 6019746085 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
334 JOSANNA STREET SUITE #209 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| 1902027428 | Jennifer Anne Warren | Dietitian, Registered | 1225 North State Street, Jackson, MS 39202 | 2007-05-01 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
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| 1700413424 | Warriors 4 Christ Recovery Ministries | Case Management | 84 E Mound St, Jackson, OH 45640-1226 | 2020-03-24 |
| 1467952804 | A Kings Place Specialty Group Home | Case Management | 145 Airways Blvd, Jackson, TN 38301-5954 | 2018-02-12 |
| 1669912093 | Navigation Support Coordination LLC | Case Management | 421 Summerfield Ln E, Jackson, NJ 08527-3097 | 2017-03-04 |
| 1770962706 | Senior Center of Jackson Hole, Inc. | Case Management | 830 E Hansen Ave, Jackson, WY 83001-8791 | 2015-05-22 |
| 1750784724 | Ella Hephzibah | Case Management | 1190 N West Ave Ste 812, Jackson, MI 49202-2047 | 2014-10-03 |
| 1548491608 | Jackson County Human Services | Case Management | 310 Sherman St, Jackson, MN 56143-1500 | 2009-08-06 |
| 1992988414 | Amador-tuolumne Community Action Agency | Case Management | 935 S Highway 49, Jackson, CA 95642-2673 | 2007-12-06 |
| 1770795536 | Mississippi Department of Rehabilitaion Svs | Case Management | 1281 Highway 51 North, Jackson, MS 39215-1698 | 2007-05-04 |
| 1760606495 | Community Assistance Program and Services LLC | Case Management | 933 Lansing Avenue, Jackson, MI 49202-3215 | 2007-04-12 |
| 1649395849 | Professional Consulting Services, LLC | Case Management | 216 W Euclid Ave, Jackson, MI 49203-4102 | 2007-03-20 |
| 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.