SOUTHWEST DEVELOPMENT CORPORATION, INC. (NPI# 1841372976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841372976 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST DEVELOPMENT CORPORATION, INC. |
| Other Organization Name | MEDGAR EVERS HOME HEALTH AGENCY |
| Practice Address |
210 Gilchrist Street Fayette MS 39069-0699 |
| Mailing Address |
Po Box 699 Fayette MS 39069-0699 |
| Practice Telephone | 6017863955 |
| Practice Fax Number | 6017869814 |
| Mailing Telephone | 6017863955 |
| Mailing Fax Number | 6017869814 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2009-06-10 |
| Authorized Official Name | MS. MARY T. IRVING (ADMINISTRATOR) |
| Authorized Official Telephone | 6017863955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7181 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770119 | 05 | |
| MS | HOMEMAKERS SERVICES | 00770619 | 01 |
| Other Name | Type Code |
|---|---|
| Medgar Evers Home Health Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972730984 | Southwest Development Corporation, Inc. | Community/Behavioral Health | 210 Gilchrist St., Fayette, MS 39069-0160 | 2009-06-17 |
| 1275768319 | Southwest Development Corporation, Inc. | Respite Care | 210 Gilchrist Street, Post Office Box 699, Fayette, MS 39069-0699 | 2009-05-19 |
| 1447484092 | Southwest Development Corporation, Inc. | Hospice Care, Community Based | 210 Gilchrist Street, Fayette, MS 39069-0699 | 2009-05-12 |
| Street Address |
210 GILCHRIST STREET |
| City | FAYETTE |
| State | MS |
| Zip Code | 39069-0699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275768319 | Southwest Development Corporation, Inc. | Respite Care | 210 Gilchrist Street, Post Office Box 699, Fayette, MS 39069-0699 | 2009-05-19 |
| 1447484092 | Southwest Development Corporation, Inc. | Hospice Care, Community Based | 210 Gilchrist Street, Fayette, MS 39069-0699 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1942741764 | Prime Health and Wellness | Nurse Practitioner | 300 Shannon Street, Fayette, MS 39069 | 2017-03-13 |
| 1063967768 | P-cares Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3476 River Road, Box 1055, Fayette, MS 39069 | 2016-08-23 |
| 1669866331 | Kanayo Ugboaja | Contractor | 157 Hicks St, Fayette, MS 39069 | 2015-03-20 |
| 1053666503 | Valerie Michele White | Nurse Practitioner | 225 Community Dr., Fayette, MS 39069 | 2012-07-20 |
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1922271691 | Jefferson Comprehensive Health Center Inc | Clinic/Center | Route 1 Box 266, Fayette, MS 39069 | 2008-04-02 |
| 1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
| 1356410229 | Johnny B Bills | Family Medicine | 225 Community Ave, Fayette, MS 39069 | 2006-11-07 |
| 1962583971 | Priscilla Jackson | Nurse Practitioner | 225 Community Drive, Fayette, MS 39069 | 2006-10-17 |
| Find all providers in zip 39069 | ||||
| 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 |
|---|---|---|---|---|
| 1821241613 | Fayette Medical Center Homecare, LLC | Home Health | 102 2nd Ave Se, Fayette, AL 35555-2717 | 2008-10-24 |
| 1861496531 | Howard County Home Health and Hospice | Home Health | 101 Furr Street, Fayette, MO 65248-1069 | 2005-06-09 |
| 1871679993 | Fayette Medical Center Home Health | Home Health | 411 Fayette Sq, Fayette, AL 35555-1723 | 2006-10-31 |
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| 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.