PRIVATE HOME CARE, INC. (NPI# 1346508090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346508090 |
| Entity Type | Organization |
| Organization Name | PRIVATE HOME CARE, INC. |
| Practice Address |
1017 Jackson St Vicksburg MS 39183-2521 |
| Practice Telephone | 6016362701 |
| Mailing Telephone | 6016362701 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | MRS. SHARON ANN PENNOCK (DIRECTOR) |
| Authorized Official Telephone | 6016362701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104281534 | Private Home Care, Inc. | Technician | 243 High St., 2nd Floor, Belfast, ME 04915 | 2015-12-30 |
| Street Address |
1017 JACKSON ST |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| 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 |
|---|---|---|---|---|
| 1619589249 | Amedeo Home Care Services | In Home Supportive Care | 3111 Washington St, Vicksburg, MS 39180-4968 | 2020-08-17 |
| 1174132476 | Divine Home Care Changes | In Home Supportive Care | 106 Ethel Dr, Vicksburg, MS 39180-8905 | 2020-07-23 |
| 1720551740 | Maketta Jennings | In Home Supportive Care | 8677 Halls Ferry Rd, Vicksburg, MS 39180-7047 | 2019-01-03 |
| 1245740190 | Vicksburg Home Care | In Home Supportive Care | 3075 E Vw Ave, Vicksburg, MI 49097-7739 | 2017-10-05 |
| 1316314941 | Washington Home Health Agency, LLC | In Home Supportive Care | 3402 Wisconsin Ave Ste 10, Vicksburg, MS 39180-5378 | 2015-08-31 |
| 1619243359 | Super Shots Mobile Flu Shot Clinic | In Home Supportive Care | 109 Belva Dr, Vicksburg, MS 39180-8928 | 2012-03-27 |
| 1427402163 | Senior Life LLC | In Home Supportive Care | 109 Belva Dr, Vicksburg, MS 39180-8928 | 2016-04-19 |
| 1558683805 | Always Home, LLC | In Home Supportive Care | 1905 Mission 66 # B, Suite 1, Vicksburg, MS 39180-3751 | 2010-02-26 |
| 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 |
| 1336759018 | Kingdom House LLC | In Home Supportive Care | 309 E Bay St, Magnolia, MS 39652-2815 | 2020-08-06 |
| 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 |
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1851915383 | 180 Interventions LLC | In Home Supportive Care | 52 Willow Ridge Dr, Pontotoc, MS 38863-8950 | 2020-06-01 |
| 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.