HOME IN THE WOODS HEALTHCARE CLINIC, LLC (NPI# 1720640899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720640899 |
| Entity Type | Organization |
| Organization Name | HOME IN THE WOODS HEALTHCARE CLINIC, LLC |
| Other Organization Name | HOME IN THE WOODS HEALTHCARE CLINIC, LLC |
| Practice Address |
6572 County Road 514 Itta Bena MS 38941-2746 |
| Practice Telephone | 6018961789 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | TANGA ROBINSON (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 6018961789 |
| Authorized Official Credential | CFNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Home in the Woods Healthcare Clinic, LLC | Doing Business As Name - Organization |
| Street Address |
6572 COUNTY ROAD 514 |
| City | ITTA BENA |
| State | MS |
| Zip Code | 38941-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821482548 | Delta Valley Development Corp | Clinic/Center | 201 Basket Street, Itta Bena, MS 38941 | 2015-03-19 |
| 1760710990 | Anita Wacht Batman | Family Medicine | Highway 82 Student Health Clinic, Mississippi Valley State University, Itta Bena, MS 38941 | 2009-11-30 |
| 1619464005 | Lashonda Denise Ray | Counselor | 2504 Browing Road, Greenwood, MS 38941 | 2018-04-20 |
| 1104177567 | Carnage Tender Loving Care Adc | Clinic/Center | 102 Wheeler St, Itta Bena, MS 38941-1919 | 2012-09-26 |
| 1114943784 | Freds Stores of Tennessee Inc | Pharmacy | 118 Humphreys St, Itta Bena, MS 38941-2004 | 2006-07-15 |
| 1407137086 | The Pharos Inc. | Case Management | 300 Sunflower Rd Apt 20, Itta Bena, MS 38941-2730 | 2011-09-08 |
| 1003875394 | Greenwood Leflore Hospital | Clinic/Center | 103 Basket St, Itta Bena, MS 38941-2801 | 2006-03-23 |
| 1083788665 | Vicki Nicole Lary | Nurse Practitioner | 103 Basket St, Itta Bena, MS 38941-2801 | 2006-11-17 |
| 1194230250 | Cedric Renard Williams | Counselor | 401 Lakeside St, Itta Bena, MS 38941-3100 | 2017-12-11 |
| 1255694584 | In His Presence Daycare Ms | Clinic/Center | 504 Basket St, Itta Bena, MS 38941-3206 | 2012-06-21 |
| Find all providers in zip 38941 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1184120883 | Lena Family Medical, Inc. | Clinic/Center | 1107 Grand Avenue, Lena, MS 39094 | 2018-04-02 |
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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.