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 | 1558566398 |
NPI Entity Type | Organization |
Provider Name | Heritage Home Health Agency |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 931 Highway 80 W, Suite 216, Jackson, MS, US |
Provider Mailing Address | 931 Highway 80 W, Suite 216, Jackson, MS, US, 392043912 |
Is Sole Proprietor? | No |
Official Name | MS. Shirley Q Anderson |
Official Position | DIRECTOR |
Phone | 601-981-5973 |
Taxonomy Code | |
Taxonomy Name | Home Health Agency |
Classification | |
Group | |
License State | MS |
Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
00770538 | MS | MEDICAID | 05 |
00425253 | MS | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MISS MOT, OTR/L, SCLV Shirley Blanton Individual |
706 Highway 82 W |
||
DO Madison Leigh Lindgren Individual |
2500 N State St |
||
Optimum Occupational Therapy Services, Llc Organization |
706 Highway 82 W |
||
Jacqueline Cartwright Individual |
3171 Quartz Dr |
||
MSN, APRN, FNP-C Felisa Jeannette Hall Individual |
1046 Division St |
||
IDD WAIVER SERVICES Debbie Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Beverly Johnson Individual |
1406 Mississippi Dr |
||
CRISIS SERVICES Jaricia Kinchen Individual |
934 West Dr |
||
IDD WAIVER SERVICES Monolisa Keyes Individual |
1224 Hillcrest Dr |
||
IDD WAIVER SERVICES Felicia Keller Individual |
405 N First St |
||
IDD WAIVER SERVICES Sharika Jones Individual |
106 Mize St Apt 26 |
||
IDD WAIVER SERVICES Loverta Jones Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Tamekia Mckines Individual |
119 Chambliss Dr |
||
Mary Fowler Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Porosha Gaines Individual |
106 Mize St Apt 26 |
||
DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond Individual |
232 Market St |
||
IDD WAIVER SERVICES Fraxine Graves Individual |
1110 42nd Ave |
||
IDD WAIVER SERVICES Judy Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Michael Mcdonald Individual |
41 Bonhomie Rd |
||
IDD WAIVER SERVICES Pamela Mcandrews Individual |
106 Mize St Apt 26 |
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