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JACKSON MS HOMECARE NPI 1376152512


NPI Information

NPI: 1376152512
Provider Name: JACKSON MS HOMECARE

Doing Business As: VISITING ANGELS JACKSON

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
2625 RIDGEWOOD RD STE 104
JACKSON, MS
ZIP 39216
Phone: (601) 500-5027
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JACKSON MS HOMECARE is an in home supportive care in Jackson, 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. JACKSON MS HOMECARE NPI is 1376152512. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Visiting Angels Jackson.

The provider's business location address is:

2625 RIDGEWOOD RD STE 104
JACKSON, MS
ZIP 39216-900
Phone: (601) 500-5027
Fax: (601) 500-7344

The provider's authorized official is Clifton Reese Daniels .
The authorized official title is Executive Director and has the following contact phone number (601) 500-5027.

The enumeration date for this NPI number is 7/23/2020 and was last updated on 11/17/2023.


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
1374U00000XHome Health AideNo
2253Z00000XIn 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: 4/28/2024

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