HOLLOWAY HOME CARE SERVICE (NPI# 1720414170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720414170 |
| Entity Type | Organization |
| Organization Name | HOLLOWAY HOME CARE SERVICE |
| Practice Address |
1508 Pea Ridge Rd Forest MS 39074-9614 |
| Practice Telephone | 7692749095 |
| Practice Fax Number | 6016258401 |
| Mailing Telephone | 7692749095 |
| Mailing Fax Number | 6016258401 |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | MS. PATRICIA ANN HOLLOWAY (CNA) |
| Authorized Official Telephone | 7692749095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | A012487 | MS | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HOLLOWAY HOME CARE SERVICES INC. | 73 Denver Street, Springfield, MA 01109 |
| Street Address |
1508 PEA RIDGE RD |
| City | FOREST |
| State | MS |
| Zip Code | 39074-9614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| 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 |
|---|---|---|---|---|
| 1740582824 | Triplett Home Health Services LLC | Home Health | 950 Hawkins Rd, Forest, MS 39074-8329 | 2010-11-23 |
| 1952384471 | Mississippi State Department of Health | Home Health | 2071 Magnolia Office Park, Highway 35 S, Forest, MS 39074-0150 | 2005-11-29 |
| 1972117836 | Lawonna Mcdonald | Home Health | 306 S Main St, Forest, MS 39074-4134 | 2020-09-08 |
| 1598305609 | Hands & Hearts | Home Health | 306 S Main St, Forest, MS 39074-4134 | 2020-01-07 |
| 1770982126 | Roylaty Healthcare | Home Health | 443 W Oak St, Forest, MS 39074-4119 | 2014-08-21 |
| 1992907182 | Brusha Home Care Service | Home Health | 150 Willis Rd, Forest, MS 39074-9046 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122733 | Blessing Hearts Private Duty Home Care LLC | Home Health | 105 N Cherry St, Tylertown, MS 39667-2308 | 2020-10-23 |
| 1568061406 | True Alliance Home Healthcare, LLC | Home Health | 6950 Dakota Cir S, Olive Branch, MS 38654-9064 | 2020-10-21 |
| 1043818925 | Home In The Heart Health Care Agency, LLC | Home Health | 5915 Brice Cv N, Olive Branch, MS 38654-3529 | 2020-10-13 |
| 1689271017 | Thompson Healthcare Services, LLC | Home Health | 208 Grace Dr, Flowood, MS 39232-5511 | 2020-10-08 |
| 1760089346 | Natasha Turner | Home Health | 224 Cedar St, Kosciusko, MS 39090-4504 | 2020-10-06 |
| 1164029930 | Just Like Family Home Care LLC | Home Health | 910 E Northside Dr # 910e, Jackson, MS 39206-5533 | 2020-10-05 |
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1023620887 | Porsche Ann Walley | Home Health | 5101 Orchard Ave Apt 91, Pascagoula, MS 39581-3907 | 2020-08-21 |
| 1750993358 | Tab, LLC | Home Health | 785 Creston Dr, Byram, MS 39272-3001 | 2020-08-17 |
| 1740891506 | Trucare Sitters LLC | Home Health | 908 Bickerstaff St, Tupelo, MS 38801-6802 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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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.