JOHNSON DIAGNOSTIC LLC NPI 1477448249

NPI Information

NPI: 1477448249
Provider Name: JOHNSON DIAGNOSTIC LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
CLIA Number: 25D2328565
Address: 121 FRONT STREET
PURVIS, MS
ZIP 39475
Phone: (833) 385-3874

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NPI Details

JOHNSON DIAGNOSTIC LLC is an in home supportive care in Purvis, 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. JOHNSON DIAGNOSTIC LLC NPI is 1477448249. The provider is registered as an organization entity type.

The provider's business location address is:

121 FRONT STREET
PURVIS, MS
ZIP 39475
Phone: (833) 385-3874
Fax: (601) 861-4433

The provider's authorized official is Wankethia Johnson .
The authorized official title is Ceo and has the following contact phone number (833) 385-3874.

The CLIA number assigned to this NPI record is 25D2328565 - other - private agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2025 and was last updated on 6/11/2025.

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	Primary
1	251B00000X	Case Management	No
2	251E00000X	Home Health	No
3	251F00000X	Home Infusion	No
4	251J00000X	Nursing Care	No
5	343900000X	Non-emergency Medical Transport (VAN)	No
6	385H00000X	Respite Care	No
7	253Z00000X	In Home Supportive Care	Yes

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: 11/21/2025

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