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Emmanuel Ridge Of Louisville Ms Inc
In Home Supportive Care Agency in Louisville, Mississippi
NPI 1497144265

Emmanuel Ridge Of Louisville Ms Inc is a In Home Supportive Care Agency based in Jackson, MS. Emmanuel Ridge Of Louisville Ms Inc practices in Louisville, MS. The NPI Number for Emmanuel Ridge Of Louisville Ms Inc is 1497144265 and holds a License No. R815521 (Mississippi).

The current practice location address for Emmanuel Ridge Of Louisville Ms Inc is 803 W Main St, Louisville, MS and can be reached out via phone at 662-705-5031 and via fax at 662-705-5034.

Location: 803 W Main St, Louisville, MS, 39209-2652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497144265
Provider Name
Emmanuel Ridge Of Louisville Ms Inc
Credential
Provider Entity Type
Organization
Address
803 W Main St, Louisville, MS, 39209-2652
Phone Number
662-705-5031
Fax Number
662-705-5034
Provider Enumeration Date
01/16/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08752218 05 MS
institution
Provider Business Practice Location Address Details
Address
803 W Main St
City
Louisville
State
Mississippi
Zip
39339-2539
Phone Number
662-705-5031
Fax Number
662-705-5034
person
Provider Business Mailing Address Details
Address
803 W Main St
City
Louisville
State
Mississippi
Zip
39339-2539
Phone Number
662-705-5031
Fax Number
662-705-5034
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
163WA2000X
License No.
03630719 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
08752218 (Mississippi)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
R815521 (Mississippi)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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