DONNA C AINSWORTH


Address: 1240 Thomas Dr, Laurel, MS 39440-1079
Phone: 6016061521

DONNA C AINSWORTH (NPI# 1518336155) 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) 1518336155
Entity Type Individual
Full Name DONNA C AINSWORTH
Other Name DONNA G COOPER
Practice Address 1240 Thomas Dr
Laurel
MS 39440-1079
Practice Telephone 6016061521
Practice Fax Number 6016514002
Mailing Telephone 6016061521
Mailing Fax Number 6016514002
Enumeration Date 2015-09-24
Last Update Date 2015-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251X00000X Supports Brokerage 10368716 MS Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MS LIFE, HEALTH AND ACCIDENT 10368716 01

Office Location

Street Address 1240 THOMAS DR
City LAUREL
State MS
Zip Code 39440-1079

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1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
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Taxonomy Information

Taxonomy Code 251X00000X
Grouping Agencies
Classification Supports Brokerage

Taxonomy Definition

A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.
Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629506241 True Motivation Works LLC Supports Brokerage 9185 Bourbon Street, Suite N, Laurel, MD 20723 2017-05-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184244394 Ppxtec, LLC Supports Brokerage 1524 Lakeside Dr, Jackson, MS 39216-4807 2020-04-17

Competitor

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City LAUREL
Zip Code 39440

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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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