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Mississippi Homecare, Llc
Home Health Agency in Vicksburg, Mississippi
NPI 1497867857

Mississippi Homecare, Llc is a Home Health Agency based in Lafayette, MS. Mississippi Homecare, Llc practices in Vicksburg, MS. The NPI Number for Mississippi Homecare, Llc is 1497867857 and holds a License No. 3581 (Mississippi).

The current practice location address for Mississippi Homecare, Llc is 2080 S Frontage Rd Ste 107, Vicksburg, MS and can be reached out via phone at 601-629-0015 and via fax at 601-629-0046.

Location: 2080 S Frontage Rd Ste 107, Vicksburg, MS, 70505-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497867857
Provider Name
Mississippi Homecare, Llc
Credential
Provider Entity Type
Organization
Address
2080 S Frontage Rd Ste 107, Vicksburg, MS, 70505-1266
Phone Number
601-629-0015
Fax Number
601-629-0046
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0770602 05 MS
70757 01 MS BLUE CROSS BLUE SHIELD OF
institution
Provider Business Practice Location Address Details
Address
2080 S Frontage Rd Ste 107
City
Vicksburg
State
Mississippi
Zip
39180-5882
Phone Number
601-629-0015
Fax Number
601-629-0046
person
Provider Business Mailing Address Details
Address
2080 S Frontage Rd Ste 107
City
Vicksburg
State
Mississippi
Zip
39180-5882
Phone Number
601-629-0015
Fax Number
601-629-0046
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
3581 (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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