Mississippi Homecare, Llc

LBN: Mississippi Homecare, Llc
Mississippi Homecare, Llc is an health care organization with primary practice located at 2080 S Frontage Rd Ste 107 , Vicksburg MS 39180-5882. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Mississippi Homecare, Llc can be contacted via phone (601) 629-0015, or through Stelly, Donald D. via phone (337) 233-1307.

Contact Information

Primary practice address
2080 S Frontage Rd Ste 107 Vicksburg MS 39180-5882
Phone: (601) 629-0015
Fax: (601) 629-0046
Website:
Map and Directions
Authorized official contact:
Name: Stelly, Donald D.
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 3581 Mississippi

Profile Details

NPI number 1497867857
LBN Legal business name Mississippi Homecare, Llc
DBA Doing business as
Authorized official Stelly, Donald D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 9th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497867857 NPPES
Mississippi MEDICAID 0770602
Mississippi Other 70757

Popular Providers