AMANDA BASS (NPI# 1922572882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922572882 |
| Entity Type | Individual |
| Full Name | AMANDA BASS |
| Practice Address |
720 Avignon Dr Ste 7 Ridgeland MS 39157-5166 |
| Mailing Address |
3428 Lampton Ave Jackson MS 39213-5661 |
| Practice Telephone | 6014543283 |
| Mailing Telephone | 6015034904 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3428 Lampton Ave, Jackson, MS 392135661 | 6015034904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255453387 | Amanda Denise Bass | Counselor | 5525 N Macarthur Blvd, 800, Irving, TX 75038-2615 | 2007-04-06 |
| 1629681622 | Amanda R Bass | Physical Therapist | 740 Marne Hwy Ste 203, Moorestown, NJ 08057-3127 | 2020-08-28 |
| Street Address |
720 AVIGNON DR STE 7 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-5166 |
| 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 | 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 |
|---|---|---|---|---|
| 1609420090 | Vancleef Personal Care Homes LLC | In Home Supportive Care | 1060 E County Line Rd Ste 3a-328, Ridgeland, MS 39157-1900 | 2019-07-24 |
| 1326602657 | Committed Care Personal Care Service, LLC | In Home Supportive Care | 1000 Highland Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2019-04-22 |
| 1184199465 | Care for You Home Care LLC | In Home Supportive Care | 277 Peach Orchard Dr, Ridgeland, MS 39157-4710 | 2018-10-12 |
| 1407245715 | Mississippi Professional Nursing Care | In Home Supportive Care | 879 William Blvd, Apt 11c, Ridgeland, MS 39157-1510 | 2015-01-10 |
| 1366767394 | Merry Heart Personal Care & Sitting, LLC | In Home Supportive Care | 360 Towne Centre Blvd, Suite A, Ridgeland, MS 39157 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659168 | Linda Summerville | In Home Supportive Care | 1204 W Claiborne Ave, Greenwood, MS 38930-2806 | 2020-11-07 |
| 1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1518572775 | Healing Innovations LLC | In Home Supportive Care | 2006 Pumping Station Rd, Osyka, MS 39657-7325 | 2020-09-14 |
| 1598379323 | Home Care of Mississippi, LLC | In Home Supportive Care | 428 N Lamar Blvd Ste 114, Oxford, MS 38655-3221 | 2020-08-31 |
| 1619589249 | Amedeo Home Care Services | In Home Supportive Care | 3111 Washington St, Vicksburg, MS 39180-4968 | 2020-08-17 |
| 1336759018 | Kingdom House LLC | In Home Supportive Care | 309 E Bay St, Magnolia, MS 39652-2815 | 2020-08-06 |
| 1174132476 | Divine Home Care Changes | In Home Supportive Care | 106 Ethel Dr, Vicksburg, MS 39180-8905 | 2020-07-23 |
| 1013534650 | Randolph's Devoted Home Care | In Home Supportive Care | 6901 Highway 305 N Ste F, Olive Branch, MS 38654-2317 | 2020-06-30 |
| 1558986190 | Eugene J Hoffman Iv | In Home Supportive Care | 305 Reese St, Bay Saint Louis, MS 39520-2823 | 2020-06-09 |
| 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.