Southern Healthcare Agency, Inc., NPI 1336338763
Nursing Care Agency in Ridgeland, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1336338763 |
| NPI Entity Type | Organization |
| Provider Name | Southern Healthcare Agency, Inc. |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 301 New Pointe, Ridgeland, MS, US |
| Provider Mailing Address | 301 New Pointe, Ridgeland, MS, US, 391573904 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Jackie D. Mcmillan |
| Official Position | CEO |
| Phone | 601-933-0037 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Nursing Care Agency |
| Classification | |
| Group | |
| License No. | 27 17 009C |
| License State | MS |
| Description | A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No | |||||
| No | |||||
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00770284 | MS | MEDICAID | 05 |
| 00770283 | MS | MEDICAID | 05 |
| 00118933 | MS | MEDICAID | 05 |
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