NORTH DELTA MEDICAL SERVICES, INC (NPI# 1104279496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104279496 |
| Entity Type | Organization |
| Organization Name | NORTH DELTA MEDICAL SERVICES, INC |
| Practice Address |
520 Goodman Rd E Southaven MS 38671-9526 |
| Practice Telephone | 6623930170 |
| Practice Fax Number | 6623930171 |
| Mailing Telephone | 6623930170 |
| Mailing Fax Number | 6623930171 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |
| Authorized Official Name | MR. RAYMOND E VALLIER (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 6623930170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | MS | Agencies |
| Street Address |
520 GOODMAN RD E |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-9526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460568 | North Delta Hospice and Palliative Services,llc | Hospice, Inpatient | 520 Goodman Rd E, Southaven, MS 38671-9526 | 2006-05-03 |
| 1295188506 | North Delta Staffing Services | In Home Supportive Care | 520 Goodman Rd E, Southaven, MS 38671-9526 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215303144 | Caring Hands At Home Nmc | In Home Supportive Care | 892 Oaklawn Pl, Southaven, MS 38671-3327 | 2015-08-14 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1609213438 | My Brother's Keeper Homecare Solutions, LLC | In Home Supportive Care | 8869 Centre St Ste B1, Southaven, MS 38671-1725 | 2013-06-03 |
| 1033744727 | Dlc Home Care Solutions | In Home Supportive Care | 8869 Centre St Ste B1, Southaven, MS 38671-1725 | 2020-03-03 |
| 1720644248 | A Mothers Love Home Care | In Home Supportive Care | 1652 Main St, Southaven, MS 38671-1237 | 2019-05-10 |
| 1932640257 | House To Home Agency LLC | In Home Supportive Care | 3814 Farm Pond Cv E, Southaven, MS 38671-7073 | 2017-03-20 |
| 1295188506 | North Delta Staffing Services | In Home Supportive Care | 520 Goodman Rd E, Southaven, MS 38671-9526 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659168 | Linda Summerville | In Home Supportive Care | 1204 W Claiborne Ave, Greenwood, MS 38930-2806 | 2020-11-07 |
| 1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
| 1639776750 | Hope Supportive LLC. | In Home Supportive Care | 6295 Old Canton Rd Apt 19d, Jackson, MS 39211-2934 | 2020-10-01 |
| 1518572775 | Healing Innovations LLC | In Home Supportive Care | 2006 Pumping Station Rd, Osyka, MS 39657-7325 | 2020-09-14 |
| 1598379323 | Home Care of Mississippi, LLC | In Home Supportive Care | 428 N Lamar Blvd Ste 114, Oxford, MS 38655-3221 | 2020-08-31 |
| 1619589249 | Amedeo Home Care Services | In Home Supportive Care | 3111 Washington St, Vicksburg, MS 39180-4968 | 2020-08-17 |
| 1336759018 | Kingdom House LLC | In Home Supportive Care | 309 E Bay St, Magnolia, MS 39652-2815 | 2020-08-06 |
| 1174132476 | Divine Home Care Changes | In Home Supportive Care | 106 Ethel Dr, Vicksburg, MS 39180-8905 | 2020-07-23 |
| 1013534650 | Randolph's Devoted Home Care | In Home Supportive Care | 6901 Highway 305 N Ste F, Olive Branch, MS 38654-2317 | 2020-06-30 |
| 1558986190 | Eugene J Hoffman Iv | In Home Supportive Care | 305 Reese St, Bay Saint Louis, MS 39520-2823 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.