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SOS TRANSITIONAL LIVING SERVICES LLC NPI 1194488007


NPI Information

NPI: 1194488007
Provider Name: SOS TRANSITIONAL LIVING SERVICES, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
214 BROADWAY DR
HATTIESBURG, MS
ZIP 39401
Phone: (601) 441-2220
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SOS TRANSITIONAL LIVING SERVICES, LLC is an in home supportive care in Hattiesburg, 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. SOS TRANSITIONAL LIVING SERVICES, LLC NPI is 1194488007. The provider is registered as an organization entity type.

The provider's business location address is:

214 BROADWAY DR
HATTIESBURG, MS
ZIP 39401-084
Phone: (601) 441-2220
Fax: (601) 602-1059

The provider's authorized official is Ricketia Estella Mckenzie .
The authorized official title is Manager, Ceo and has the following contact phone number (601) 441-2220.

The enumeration date for this NPI number is 10/18/2021 and was last updated on 10/18/2021.


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
1174200000XMealsNo
2251B00000XCase ManagementNo
3251E00000XHome HealthNo
4251S00000XCommunity/Behavioral HealthNo
5343900000XNon-emergency Medical Transport (VAN)No
6253Z00000XIn 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: 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.