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MS STATE DEPARTMENT OF HEALTH NPI 1730164674


NPI Information

NPI: 1730164674
Provider Name: MS STATE DEPARTMENT OF HEALTH

Doing Business As: METRO HOME HEALTH

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
350 WEST WOODROW WILSON AVENUE
HINDS COUNTY HEALTH DEPARTMENT SUITE 411-A
JACKSON, MS
ZIP 39213
Phone: (601) 987-4995
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MS STATE DEPARTMENT OF HEALTH is a home health in Jackson, MS. The provider is 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. MS STATE DEPARTMENT OF HEALTH NPI is 1730164674. The provider is registered as an organization entity type.
The provider Is Doing Business As Metro Home Health.

The provider's business location address is:

350 WEST WOODROW WILSON AVENUE
HINDS COUNTY HEALTH DEPARTMENT SUITE 411-A
JACKSON, MS
ZIP 39213
Phone: (601) 987-4995
Fax: (601) 987-8633

The provider's authorized official is Melanie Bowman .
The authorized official title is Director Of Home Health and has the following contact phone number (601) 576-7853.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 7/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome Health7881MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100070500MEDICAIDMISSISSIPPI
2257084MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.