SANEDRA PEGUES (NPI# 1689151789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689151789 |
| Entity Type | Individual |
| Full Name | SANEDRA PEGUES |
| Practice Address |
4754 Dubarry Ln Jackson MS 39209-4929 |
| Practice Telephone | 6012129457 |
| Mailing Telephone | 6012129457 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | MS | Agencies |
| Street Address |
4754 DUBARRY LN |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979866 | Magnolia Sitters, LLC | In Home Supportive Care | 4754 Dubarry Ln, Jackson, MS 39209-4929 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| 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 |
|---|---|---|---|---|
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1548890858 | Davis Healthcare Facility | In Home Supportive Care | 419 S State St Ste B100-4, Jackson, MS 39201-5005 | 2020-01-26 |
| 1104456979 | Carefree Living At Home LLC | In Home Supportive Care | 460 Briarwood Dr Ste 400-1010, Jackson, MS 39206-3051 | 2020-01-21 |
| 1164088415 | Canaan Homehealth Care | In Home Supportive Care | 17 Danielle Ct, Jackson, NJ 08527-2929 | 2019-05-13 |
| 1356801393 | Victor M Pickett | In Home Supportive Care | 227 Kilmaine Ct, Jackson, MS 39209-3651 | 2019-03-25 |
| 1902360571 | Resilience Home Care Services LLC | In Home Supportive Care | 5135 Galaxie Dr Ste E, Jackson, MS 39206-4300 | 2019-01-28 |
| 1548768708 | Shore Homecare Services LLC | In Home Supportive Care | 25 N County Line Rd Ste 18, Jackson, NJ 08527-1270 | 2018-01-23 |
| 1487161519 | The Journey of Knowledge | In Home Supportive Care | 2460 Terry Rd Ste 400, Jackson, MS 39204-5777 | 2018-01-10 |
| 1528579554 | Melissa Meshawn Ross | In Home Supportive Care | 4535 Office Park Dr, Jackson, MS 39206-6017 | 2017-10-17 |
| 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.