STATEWIDE HEALTHCARE SERVICES, INC. (NPI# 1699025734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699025734 |
| Entity Type | Organization |
| Organization Name | STATEWIDE HEALTHCARE SERVICES, INC. |
| Other Organization Name | OXFORD HEALTHCARE |
| Practice Address |
3828 I 55 N Jackson MS 39211-6324 |
| Mailing Address |
1 N State St Suite 800 Chicago IL 60602-3302 |
| Practice Telephone | 6019827311 |
| Practice Fax Number | 6019812586 |
| Mailing Telephone | 8004043191 |
| Mailing Fax Number | 3127040022 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | MR. JOEL DAVIS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 18004043191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Oxford Healthcare | Doing Business As Name - Organization |
| Street Address |
3828 I 55 N |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679601645 | Statewide Healthcare Services, Inc | Home Health | 3828 I 55 N, Jackson, MS 39211-6324 | 2007-03-01 |
| 1962999326 | Statewide Healthcare Services | Community/Behavioral Health | 3828 I 55 N, Jackson, MS 39211-6324 | 2018-04-20 |
| 1588175558 | Statewide Healthcare Services, Inc | Home Health | 3828 I 55 N, Jackson, MS 39211-6324 | 2017-10-18 |
| 1356614416 | Statewide Healthcare Services, Inc | Nursing Care | 3828 I 55 N, Jackson, MS 39211-6324 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922789 | Linda Vaughn | Technician | 5433 State Route 139, Jackson, OH 45640-9271 | 2020-11-02 |
| 1790385193 | Theresa Rouse | Technician | 640 Cutlip Rd, Jackson, OH 45640-9451 | 2020-10-27 |
| 1871190777 | Sandra Kay Dempsey | Technician | 110 Morton St, Jackson, OH 45640-1335 | 2020-10-04 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1164063376 | Reginald Lumpkin | Technician | 1160 Joanne St Apt 108, Jackson, MS 39204-5253 | 2019-09-30 |
| 1770098295 | Angelica Ross | Technician | 128 Devonshire Sq, Jackson, TN 38305-2229 | 2017-12-06 |
| 1972032159 | Sherice Shunta Stutts-walker | Technician | 6451 Homewood Cir, Jackson, MS 39213-7814 | 2017-06-09 |
| 1689114233 | Peggy Clayborne | Technician | 219 Ford Ave, Jackson, MS 39209-3322 | 2017-03-01 |
| 1669857363 | Marvina Wright | Technician | 5512 N Silverton St, Jackson, SC 29831-3170 | 2015-07-22 |
| 1104210657 | Lorrine Mayes | Technician | 2741 Teresa Dr, Jackson, MS 39212-2758 | 2015-03-23 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on STATEWIDE HEALTHCARE SERVICES, INC..
| 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.