SENIOR RESOURCES HEALTHCARE SERVICES,LLC (NPI# 1891078135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891078135 |
| Entity Type | Organization |
| Organization Name | SENIOR RESOURCES HEALTHCARE SERVICES,LLC |
| Practice Address |
623 Orchid Ct Jackson MS 39206-2427 |
| Practice Telephone | 7697983490 |
| Practice Fax Number | 6019911909 |
| Mailing Telephone | 7697983490 |
| Mailing Fax Number | 6019911909 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | MS. TONYA CAPLES (CEO/DIRECTOR) |
| Authorized Official Telephone | 7697983490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 05150307 | MS | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID ELDERLY AND DISABLED WAIVER PROGRAM (RESPITE) | 04775206 | 01 |
| MS | MEDICAID ELDERLY AND DISABLED WAIVER PROGRAM ( HOMEMAKER) | 05150307 | 01 |
| Street Address |
623 ORCHID CT |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1518522135 | Nj Respite & Riding LLC | Respite Care | 240 Grawtown Rd, Jackson, NJ 08527-5107 | 2019-05-08 |
| 1336695543 | Wbf Choice Healthcare, Inc | Respite Care | 501 Jacksonian Plz, #12641, Jackson, MS 39211 | 2016-08-28 |
| 1427421387 | A Step Ahead Homecare LLC | Respite Care | 5040 N State St Ste 11, Jackson, MS 39206-4056 | 2015-11-01 |
| 1902272834 | Precision Care Service of Ms. | Respite Care | 2310 Highway 80 W Ste C1122, Jackson, MS 39204-2354 | 2015-08-14 |
| 1104201771 | Total Healthcare Network Inc. | Respite Care | 210 Cooper Rd, Jackson, MS 39212-4805 | 2015-07-24 |
| 1134533896 | Kiara Lashae Johnson | Respite Care | 4560 Methodist Home Rd, Jackson, MS 39213-4201 | 2014-06-19 |
| 1649603697 | Anointed Personal Care and Respite Services | Respite Care | 3800 Yarbro St Apt 305, Jackson, MS 39204-2119 | 2013-08-14 |
| 1124465547 | Christian Sitters | Respite Care | 5538 North State Street Ste 106, Jackson, MS 39206 | 2013-05-24 |
| 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.