Home Health Care Affiliates Of Mississippi, Inc., NPI 1710983887
Home Health Agency in Bruce, MS, US

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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 1710983887
NPI Entity Type Organization
Provider Name Home Health Care Affiliates Of Mississippi, Inc.
Doing Business As
Subpart of Organization Home Health Care Affiliates Of Mississippi, Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 200 S. Pontotoc Drive, Suite A, Bruce, MS, US
Provider Mailing Address 6330 Sprint Pkwy Ste 300, Overland Park, KS, US, 662111157
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name John Nichols
Official Position AUTHORIZED SIGNATORY
Phone 662-983-2273

Primary Taxonomy

Taxonomy Code

251E00000X

Taxonomy Name Home Health Agency
Classification

Home Health

Group

Agencies

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.

Other Organization Name

CenterWell Home Health
Doing Business As

Business Address

Home Health Care Affiliates Of Mississippi, Inc.
200 S. Pontotoc Drive
Suite A

Bruce, MS, US

Phone: 662-983-2273

Mailing Address

Home Health Care Affiliates Of Mississippi, Inc.
6330 Sprint Pkwy Ste 300
Overland Park, KS, US
ZIP 662111157

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000070662 MS BLUE CROSS 01
0770326 MS MEDICAID 05

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

MISS MOT, OTR/L, SCLV Shirley Blanton

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IDD WAIVER SERVICES Beverly Johnson

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CRISIS SERVICES Jaricia Kinchen

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IDD WAIVER SERVICES Monolisa Keyes

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IDD WAIVER SERVICES Felicia Keller

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IDD WAIVER SERVICES Sharika Jones

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IDD WAIVER SERVICES Loverta Jones

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1265157614

IDD WAIVER SERVICES Tamekia Mckines

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119 Chambliss Dr

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Mary Fowler

Individual

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IDD WAIVER SERVICES Porosha Gaines

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DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

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IDD WAIVER SERVICES Fraxine Graves

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IDD WAIVER SERVICES Judy Jones

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Collins, MS

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IDD WAIVER SERVICES Michael Mcdonald

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41 Bonhomie Rd

Hattiesburg, MS

1083339428

IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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