institution
Mississippi Homecare Of Jackson, Llc
Home Health Agency in Jackson, Mississippi
NPI 1053423509

Mississippi Homecare Of Jackson, Llc is a Home Health Agency based in Lafayette, MS. Mississippi Homecare Of Jackson, Llc practices in Jackson, MS. The NPI Number for Mississippi Homecare Of Jackson, Llc is 1053423509 and holds a License No. 1294 (Mississippi).

The current practice location address for Mississippi Homecare Of Jackson, Llc is 817 East River Place, Jackson, MS and can be reached out via phone at 601-352-5063 and via fax at 601-352-7098.

Location: 817 East River Place, Jackson, MS, 70505-1266
institution
Provider Profile Details
NPI Number
1053423509
Provider Name
Mississippi Homecare Of Jackson, Llc
Credential
Provider Entity Type
Organization
Address
817 East River Place, Jackson, MS, 70505-1266
Phone Number
601-352-5063
Fax Number
601-352-7098
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70265 01 MS BLUE CROSS BLUE SHIELD OF
00770125 05 MS
institution
Provider Business Practice Location Address Details
Address
817 East River Place
City
State
Zip
39202
Phone Number
601-352-5063
Fax Number
601-352-7098
person
Provider Business Mailing Address Details
Address
817 East River Place
City
State
Zip
39202
Phone Number
601-352-5063
Fax Number
601-352-7098
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
1294 (Mississippi)
Definition
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.
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