Mississippi Homecare / Jackson

LBN: Mississippi Homecare Of Jackson, Llc
Mississippi Homecare / Jackson is an health care organization with primary practice located at 817 East River Place Suite 201, Jackson MS 39202. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Mississippi Homecare Of Jackson, Llc can be contacted via phone (601) 352-5063, or through November, Peter C. via phone (337) 233-1307.

Contact Information

Primary practice address
817 East River Place Suite 201 Jackson MS 39202
Phone: (601) 352-5063
Fax: (601) 352-7098
Website:
Map and Directions
Authorized official contact:
Name: November, Peter C.
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 1294 Mississippi

Profile Details

NPI number 1053423509
LBN Legal business name Mississippi Homecare Of Jackson, Llc
DBA Doing business as Mississippi Homecare / Jackson
Authorized official November, Peter C.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 23rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053423509 NPPES
Mississippi Other 70265 BLUE CROSS BLUE SHIELD OF
Mississippi MEDICAID 00770125 BLUE CROSS BLUE SHIELD OF

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