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FULL POTENTIAL LLC NPI 1144713413


NPI Information

NPI: 1144713413
Provider Name: FULL POTENTIAL LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
405 HIGHWAY 51 S
BATESVILLE, MS
ZIP 38606
Phone: (662) 563-0690
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FULL POTENTIAL LLC is an in home supportive care in Batesville, MS. The provider is 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. FULL POTENTIAL LLC NPI is 1144713413. The provider is registered as an organization entity type.

The provider's business location address is:

405 HIGHWAY 51 S
BATESVILLE, MS
ZIP 38606-549
Phone: (662) 563-0690
Fax: (662) 563-7304

The provider's authorized official is Tamekia Renix Jackson .
The authorized official title is Administrator and has the following contact phone number (662) 563-0690.

The enumeration date for this NPI number is 6/12/2018 and was last updated on 6/11/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2251J00000XNursing CareNo
3251S00000XCommunity/Behavioral HealthNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
5343900000XNon-emergency Medical Transport (VAN)No
6385H00000XRespite CareNo
7253Z00000XIn Home Supportive CareYes

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: 5/5/2024

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.