VANCLEEF PERSONAL CARE HOMES LLC (NPI# 1609420090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609420090 |
| Entity Type | Organization |
| Organization Name | VANCLEEF PERSONAL CARE HOMES LLC |
| Practice Address |
1060 E County Line Rd Ste 3a-328 Ridgeland MS 39157-1900 |
| Practice Telephone | 7734411910 |
| Practice Fax Number | 4143867918 |
| Mailing Telephone | 7734411910 |
| Mailing Fax Number | 4143867918 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Authorized Official Name | JERMAINE YOUNG (CEO) |
| Authorized Official Telephone | 7734411910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1060 E COUNTY LINE RD STE 3A-328 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412317 | Magnolia Total Care, LLC | Home Health | 328 Mitchellville Rd, Ridgeland, SC 29936-8362 | 2020-06-20 |
| 1598385726 | Brighter Day At Home LLC | Home Health | 533 S Green St, Ridgeland, SC 29936-9203 | 2020-04-17 |
| 1730719907 | Angela Fay Bolden | Home Health | 574 Old Bailey Rd, Ridgeland, SC 29936-8039 | 2020-01-16 |
| 1194374389 | Victress Healthcare Staffing Solutions | Home Health | 6646 Kato Bay Rd, Ridgeland, SC 29936-7879 | 2019-09-10 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1861857591 | Andre Curry | Home Health | 1052 Highland Colony Pkwy Ste 101, Ridgeland, MS 39157-8782 | 2015-12-22 |
| 1487090940 | Precioushomecare | Home Health | 123 Crested Eagle Dr., Ridgeland, SC 29936-2639 | 2013-05-10 |
| 1114157245 | Caring Hands Health Care, Inc. | Home Health | 7847 East Main Street, Ridgeland, SC 29936-2616 | 2009-07-23 |
| 1558406090 | Caring Hands Health Care Inc | Home Health | 107 D East Main Street, Ridgeland, SC 29936 | 2007-02-21 |
| 1750932372 | Heavenly Caring Hands LLC | Home Health | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2019-09-25 |
| Find all providers in RIDGELAND | ||||
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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.