CDS HOME CARE INC. NPI 1902871809

NPI Information

NPI: 1902871809
Provider Name: CDS HOME CARE, INC.

Doing Business As: CDS HOME CARE

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
1911 MISSION 66
SUITE H
VICKSBURG, MS
ZIP 39180
Phone: (601) 883-2999
Get Directions

CDS HOME CARE, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Vicksburg, MS. CDS HOME CARE, INC. NPI is 1902871809. The provider is registered as an organization entity type.
The provider Is Doing Business As Cds Home Care.

The provider's business location address is:

1911 MISSION 66
SUITE H
VICKSBURG, MS
ZIP 39180-762
Phone: (601) 883-2999
Fax: (601) 883-2877

The provider's authorized official is Reagan L Brown .
The authorized official title is Pharmacist and has the following contact phone number (601) 883-2999.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/22/2020.

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
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	05542/02.2	MISSISSIPPI	Yes
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	05542/02.2	MISSISSIPPI	X
3	3336L0003X	Pharmacy	Long Term Care Pharmacy	05542/02.2	MISSISSIPPI	X
4	332B00000X	Durable Medical Equipment & Medical Supplies		05542/02.2	MISSISSIPPI	X
5	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	05542/02.2	MISSISSIPPI	X
6	3336S0011X	Pharmacy	Specialty Pharmacy		MISSISSIPPI	X

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	00330687	MEDICAID	MISSISSIPPI
2	2521652	OTHER	MISSISSIPPI	NCPDP
3	00440953	MEDICAID	MISSISSIPPI

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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