SENIOR RESOURCES HEALTHCARE SERVICESLLC NPI 1891078135

NPI Information

NPI: 1891078135
Provider Name: SENIOR RESOURCES HEALTHCARE SERVICES,LLC
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
623 ORCHID CT
JACKSON, MS
ZIP 39206
Phone: (769) 798-3490
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SENIOR RESOURCES HEALTHCARE SERVICES,LLC is a respite care in Jackson, MS. SENIOR RESOURCES HEALTHCARE SERVICES,LLC NPI is 1891078135. The provider is registered as an organization entity type.

The provider's business location address is:

623 ORCHID CT
JACKSON, MS
ZIP 39206-427
Phone: (769) 798-3490
Fax: (601) 991-1909

The provider's authorized official is Tonya Caples .
The authorized official title is Ceo/director and has the following contact phone number (769) 798-3490.

The enumeration date for this NPI number is 9/22/2011 and was last updated on 9/22/2011.

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
1	385H00000X	Respite Care		05150307	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05150307	OTHER	MISSISSIPPI	MEDICAID ELDERLY AND DISABLED WAIVER PROGRAM ( HOMEMAKER)
2	04775206	OTHER	MISSISSIPPI	MEDICAID ELDERLY AND DISABLED WAIVER PROGRAM (RESPITE)

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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