DORA HAIR (NPI# 1215107974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215107974 |
| Entity Type | Individual |
| Full Name | DORA HAIR |
| Practice Address |
1625 Westhaven Blvd Jackson MS 39209-5728 |
| Practice Telephone | 6019228466 |
| Practice Fax Number | 6014880421 |
| Mailing Telephone | 6019228466 |
| Mailing Fax Number | 6014880421 |
| Enumeration Date | 2008-03-09 |
| Last Update Date | 2008-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 376J00000X | Homemaker | 01473740 | MS | Nursing Service Related Providers |
| Y | 376J00000X | Homemaker | 00422545 | MS | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01473740 | 05 | |
| MS | 00422545 | 05 |
| Street Address |
1625 WESTHAVEN BLVD |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1437764891 | Janet Hammock | Homemaker | 171 Coffman St, Jackson, OH 45640-1211 | 2020-09-12 |
| 1851856579 | Sylvia L Terry | Homemaker | 2135 Henry Hill Dr Ste 1, Jackson, MS 39204-2027 | 2019-02-06 |
| 1396219382 | Mark A Woods | Homemaker | 360 Comet Dr Ste C, Jackson, MS 39206-4333 | 2019-01-14 |
| 1558847616 | Angela Coleman | Homemaker | 2317 Kibby Rd, Jackson, MI 49203-3835 | 2018-07-12 |
| 1326541178 | Jamila Birden | Homemaker | 3233 Charleston Dr, Jackson, MS 39212-4102 | 2018-03-16 |
| 1750883468 | Serenity Angels LLC | Homemaker | 3537 Cottage St, Jackson, MS 39213-5721 | 2018-03-08 |
| 1487156873 | Debra Ann Scott | Homemaker | 76 Woodland Dr, Jackson, TN 38305-6414 | 2018-03-02 |
| 1225559917 | Ronesha Haygood | Homemaker | 1636 Raymond Road Apt 17k, Jackson, MS 39205 | 2017-07-03 |
| 1245570597 | Dorothy M. Taylor | Homemaker | 104 Walnut Trace Dr., Jackson, TN 38305 | 2013-02-25 |
| Find all providers in JACKSON | ||||
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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.