AT HOME CARE, INC. (NPI# 1417398520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417398520 |
| Entity Type | Organization |
| Organization Name | AT HOME CARE, INC. |
| Practice Address |
5015 I 55 N Jackson MS 39206-4306 |
| Mailing Address |
306 Church St Port Gibson MS 39150-2108 |
| Practice Telephone | 6013621701 |
| Practice Fax Number | 6013620405 |
| Mailing Telephone | 6014373524 |
| Mailing Fax Number | 6014373570 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | MRS. DOROTHY JEANETTE FELTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6014373524 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 00770582 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 1437353752 | 05 | |
| MS | 1871785527 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659330017 | At Home Care, Inc. | Home Health | 1519 University Dr, Charleston, IL 61920-3203 | 2006-03-22 |
| 1598117715 | At Home Care, Inc. | Home Health | 143 Lakeside Blvd, Ste 8, Landing, NJ 07850-1123 | 2016-07-12 |
| 1447558663 | At Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1264 Main Street, Suite B, Fayette, MS 39069 | 2011-03-11 |
| 1336453158 | At Home Care, Inc. | Home Health | 12866 Fort St, Southgate, MI 48195-1060 | 2010-08-04 |
| 1871785527 | At Home Care, Inc. | Home Health | 1004 College St, Port Gibson, MS 39150-2434 | 2007-08-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | AT HOME CARE, INC. | 2000 Commonwealth Ave., Newton, MA 02466 |
| Colorado Business Entities | AT HOME CARE, INC. | 566 Estudillo Ave. #2, San Leandro, CA 94577 |
| Street Address |
5015 I 55 N |
| City | JACKSON |
| State | MS |
| Zip Code | 39206-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982945978 | At Home Hospice Care, Inc. | Hospice Care, Community Based | 5015 I 55 N, Ste A, Jackson, MS 39206-4306 | 2013-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023661824 | Latoya Lanette Trunell | Occupational Therapy Assistant | 787 East Northside Drive, Jackson, MS 39206 | 2019-07-20 |
| 1649839291 | Andrew Harris | Dentist | 4505 I-55 Frontage Rd. N, Jackson, MS 39206 | 2019-06-07 |
| 1679065916 | Savannah Lee Zachry | Physical Therapist | 5140 Galaxie Dr Ste 108, Jackson, MS 39206 | 2018-06-02 |
| 1669987723 | Harmony House Calls LLC | Nurse Practitioner | 5140 Galaxie Dr Ste 105, Jackson, MS 39206 | 2017-12-11 |
| 1841719903 | Yolanda Yvette Bell | Nurse Practitioner | 6064 Whitestone Rd, Jackson, MS 39206 | 2017-09-10 |
| 1760907117 | Anthony Brown Jr. | Physical Therapist | 5411 I-55 North, Jackson, MS 39206 | 2017-08-07 |
| 1114457132 | Ambric N Williams | Occupational Therapy Assistant | 6017 Whitestone Rd, Jackson, MS 39206 | 2017-06-13 |
| 1952835613 | Peak Chiropractic Care, LLC | Chiropractor | 4915 I-55 North, Suite 201b, Jackson, MS 39206 | 2017-04-19 |
| 1447798293 | Peterkin and Associates of Mississippi Inc | Community/Behavioral Health | 5155 Galaxie Drive, Suite F, Jackson, MS 39206 | 2017-02-01 |
| 1952844219 | Jennifer Penick | Counselor | 460 Briarwood Drive, Suite 510, Jackson, MS 39206 | 2016-11-18 |
| Find all providers in zip 39206 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700367174 | Heavenly Angels LLC | Custodial Care Facility | 1333 E Broad St, West Point, MS 39773-3180 | 2018-08-23 |
| 1083098438 | Nellie Turner | Custodial Care Facility | 222 Mount Williams Rd, Taylorsville, MS 39168-4408 | 2015-07-15 |
| 1841572393 | Ga Stover Health Center Pa | Custodial Care Facility | 226 E Main St Ste K, Senatobia, MS 38668-2133 | 2011-09-11 |
| 1588967897 | Pandora Johnson | Custodial Care Facility | 128 Cherry Ct, Gulfport, MS 39501-8601 | 2010-12-08 |
| 1891979878 | Dogwood Homeplace | Custodial Care Facility | 200 Knight Dr, Saltillo, MS 38866-9182 | 2007-12-26 |
| 1902004013 | Dorothy Jeanette Jones | Custodial Care Facility | 1004 College St, Port Gibson, MS 39150-2434 | 2007-07-10 |
| 1043536535 | Hudspeth Regional Center | Custodial Care Facility | Highway 475 South, Whitfield, MS 39193 | 2010-04-09 |
| 1245415058 | Advanced Nursing, Inc. | Custodial Care Facility | 119 W Presley Blvd, Suite C, Mccomb, MS 39648-5534 | 2007-12-31 |
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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.