PROVIDENCE HEALTHCARE OF MS


Address: 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272
Phone: 6017205460

PROVIDENCE HEALTHCARE OF MS (NPI# 1144665738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144665738
Entity Type Organization
Organization Name PROVIDENCE HEALTHCARE OF MS
Practice Address 6735 I-55 South Frontage Road
Suite 2-a
Byram
MS 39272
Mailing Address Po Box 502
Terry
MS 39170-0502
Practice Telephone 6017205460
Practice Fax Number 6018780687
Mailing Telephone 6017205460
Mailing Fax Number 6018780687
Enumeration Date 2013-05-08
Last Update Date 2015-08-27
Authorized Official Name PATRICH MANN (DIRECTOR/MANAGER)
Authorized Official Telephone 6017205460
Authorized Official Credential R.N.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251J00000X Nursing Care R866849 MS Agencies

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PROVIDENCE HEALTHCARE OF MS, LLC 118 Levon Owens Dr, Terry, MS 39170-9696

Office Location

Street Address 6735 I-55 SOUTH FRONTAGE ROAD
SUITE 2-A
City BYRAM
State MS
Zip Code 39272

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649893363 Prestige Dental Care Dentist 7138 S Siwell Road, Byram, MS 39272 2020-05-28
1093204158 Primary Family Medical Clinic Nurse Practitioner 100 Marker Place Dr. Ste D, Byram, MS 39272 2018-05-04
1457869190 Lakisha Ann Mcmorris Adult Companion 300 Byram Drive, Apt 51d, Byram, MS 39272 2018-01-16
1639692908 Quintin Todd Julius, Pllc Dentist 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 2017-07-19
1134649395 Helping Hands Service LLC Home Health 1402 Siwell Rd Suite 110, Byram, MS 39272 2017-06-20
1760916050 Delivery Me, LLC Non-emergency Medical Transport (VAN) 5210 Brookleigh Drive, Byram, MS 39272 2017-04-13
1962893396 Rebecca Holley Speech-Language Pathologist 7213 S Siwell Road, Byram, MS 39272 2015-02-06
1568742146 Deandre Monique Carr Optometrist 131 Handley Boulevard, Byram, MS 39272 2011-08-26
1063690022 Physical Rehabilitation Management Physical Therapist 128 Byram Center Drive, Jackson, MS 39272 2008-02-01
1346452406 Hinds County School District Registered Nurse 7241 Gary Road, Jackson, MS 39272 2007-05-03
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Taxonomy Information

Taxonomy Code 251J00000X
Grouping Agencies
Classification Nursing Care

Taxonomy Definition

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043811631 Collins Home Care LLC Nursing Care 209 Commerce Dr Ste D, Brandon, MS 39042-2756 2020-11-02
1760081301 Magnolia Healthcare Solutions, LLC Nursing Care 402 Greenfield Ridge Cir, Brandon, MS 39042-7025 2020-10-24
1659981181 Anchoring Hearts Healthcare LLC Nursing Care 730 Ridgewood Rd Ste A, Ridgeland, MS 39157-4434 2020-08-10
1588282941 Anchoring Hearts Healthcare Nursing Care 308 Belvedere Dr, Pearl, MS 39208-8916 2020-07-11
1912539149 Tih Services LLC Nursing Care 1246 Beverly Hills Rd Apt 207, Hattiesburg, MS 39401-4464 2020-02-05
1629608831 Collins Home Care LLC Nursing Care 305 Turny Cv, Brandon, MS 39042-7007 2020-01-16
1417424391 Optimal Wellness 365 LLC Nursing Care 4375 Highway 51 N Apt 25-201, Horn Lake, MS 38637-8720 2018-10-29
1679040729 Karis Staffing Agency Nursing Care 2068 Smyrna Rd, Hazlehurst, MS 39083-9049 2018-10-26
1568938447 Trusting Loyal Caring Tlc Homemakers Service Nursing Care 59 Noblin Road, Cleveland, MS 38732-9571 2018-10-18
1700378965 Southern Medical Solutions Nursing Care 186 Burris Rd Se, Mc Call Creek, MS 39647-5295 2018-06-04
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Competitor

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City BYRAM
Zip Code 39272

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Dataset Information

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.

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