PICAYUNE HOMECARE, LLC


Address: 1701 Highway 43 N, Suite 6, Picayune, MS 39466-2844
Phone: 6017499101

PICAYUNE HOMECARE, LLC (NPI# 1548293582) 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) 1548293582
Entity Type Organization
Organization Name PICAYUNE HOMECARE, LLC
Other Organization Name MISSISSIPPI HOMECARE OF PICAYUNE
Practice Address 1701 Highway 43 N
Suite 6
Picayune
MS 39466-2844
Mailing Address Po Box 51266
Lafayette
LA 70505-1266
Practice Telephone 6017499101
Practice Fax Number 6017498970
Mailing Telephone 3372331307
Mailing Fax Number 3372335764
Enumeration Date 2006-07-09
Last Update Date 2013-08-29
Authorized Official Name MR. DONALD D. STELLY (PRESIDENT)
Authorized Official Telephone 3372331307
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 2481 MS Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MS BLUE CROSS BLUE SHIELD OF 70217 01
MS 00770551 05

Other Provider/Organization Names

Other Name Type Code
Mississippi HomeCare of Picayune Doing Business As Name - Organization

Office Location

Street Address 1701 HIGHWAY 43 N
SUITE 6
City PICAYUNE
State MS
Zip Code 39466-2844

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255819678 Kanif Group LLC Pharmacy 1701 Highway 43 N, Picayune, MS 39466-2844 2018-07-30
1982007480 Kendal Blaine Silve Pharmacist 1701 Highway 43 N, Picayune, MS 39466-2844 2014-09-29
1346374659 Pierre Madere Pharmacist 1701 Highway 43 N, Picayune, MS 39466-2844 2007-03-16
1336249226 Scott J Suhor Pharmacist 1701 Highway 43 N, Picayune, MS 39466-2844 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295270684 Ashley Royerre Talley Speech-Language Pathologist 621 W Canal St, Picayune, MS 39466 2016-12-21
1306396213 Kathy English Counselor 102 Roy St, Picayune, MS 39466 2016-10-04
1124379631 Hancock Medical Health Services, Inc. Nurse Practitioner 23350 Highway 43, Picayune, MS 39466 2012-09-24
1578876280 Joy A. Weidemann Social Worker 120 Street A Ste C, Picayune, MS 39466 2010-07-22
1407188477 Picayune School District Local Education Agency (LEA) 706 Goodyear Blvd., Picayune, MS 39466 2010-02-02
1164751079 Picayune School District Early Head Start Early Intervention Provider Agency 1620 Rosa St, Picayune, MS 39466 2009-12-24
1124352505 Stephanie Deanne Farrell Speech-Language Pathologist 201 E. Second Street, Picayune, MS 39466 2009-10-01
1902084007 Ludwick L Lohnes Dc LLC Chiropractor 214 Norwood Street, Picayune, MS 39466 2008-01-31
1932395878 Prohealth Solutions, Inc Occupational Therapist 722 West Canal Street, Picayune, MS 39466 2007-09-24
1669677431 Terri L Bordelon Social Worker 214 N Curran, Suite A, Picayune, MS 39466 2007-06-20
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598232514 Embody Institute of Functional Health Home Health 10150 Wehie Camp Rd, Picayune, MS 39466-9701 2018-10-29
1619209301 Amedisys Mississippi, LLC Home Health 509 Highway 11 N, Suite B, Picayune, MS 39466-3349 2010-02-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174122733 Blessing Hearts Private Duty Home Care LLC Home Health 105 N Cherry St, Tylertown, MS 39667-2308 2020-10-23
1568061406 True Alliance Home Healthcare, LLC Home Health 6950 Dakota Cir S, Olive Branch, MS 38654-9064 2020-10-21
1043818925 Home In The Heart Health Care Agency, LLC Home Health 5915 Brice Cv N, Olive Branch, MS 38654-3529 2020-10-13
1689271017 Thompson Healthcare Services, LLC Home Health 208 Grace Dr, Flowood, MS 39232-5511 2020-10-08
1760089346 Natasha Turner Home Health 224 Cedar St, Kosciusko, MS 39090-4504 2020-10-06
1164029930 Just Like Family Home Care LLC Home Health 910 E Northside Dr # 910e, Jackson, MS 39206-5533 2020-10-05
1235743162 Shymeka Bolden Home Health 405 Dewitt Ave, Jackson, MS 39203 2020-09-08
1023620887 Porsche Ann Walley Home Health 5101 Orchard Ave Apt 91, Pascagoula, MS 39581-3907 2020-08-21
1750993358 Tab, LLC Home Health 785 Creston Dr, Byram, MS 39272-3001 2020-08-17
1740891506 Trucare Sitters LLC Home Health 908 Bickerstaff St, Tupelo, MS 38801-6802 2020-08-13
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Competitor

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City PICAYUNE
Zip Code 39466

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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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