Southern Healthcare Agency, Inc.
LBN: Southern Healthcare Agency, Inc.
Southern Healthcare Agency, Inc. is an health care organization with primary practice located at 301 New Pointe , Ridgeland MS 39157-3904. The organization recently has 4 registered licenses in different health care specialties including Agencies / Nursing Care, Agencies / In Home Supportive Care, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Nursing Care is the primary health care specialty.
Southern Healthcare Agency, Inc. can be contacted via phone (601) 933-0037, or through Mcmillan, Jackie D. via phone (601) 933-0037.
Contact Information
Primary practice address
301 New Pointe
Ridgeland MS 39157-3904
Phone: (601) 933-0037
Fax: (601) 932-8468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Nursing Care | 251J00000X | 27 17 009C | Mississippi |
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Respite Care Facility / Respite Care | 385H00000X | ||
| Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities | 385HR2060X |
Profile Details
| NPI number | 1336338763 |
|---|---|
| LBN Legal business name | Southern Healthcare Agency, Inc. |
| DBA Doing business as | |
| Authorized official | Mcmillan, Jackie D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2007 |
| Last updated | Jul 15th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336338763 | NPPES |
| Mississippi | MEDICAID | 00770284 | |
| Mississippi | MEDICAID | 00770283 | |
| Mississippi | MEDICAID | 00118933 |
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