PORT CITY PERSONAL CARE SERVICES LLC (NPI# 1902264799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902264799 |
| Entity Type | Organization |
| Organization Name | PORT CITY PERSONAL CARE SERVICES LLC |
| Practice Address |
424 Highway 1 S Greenville MS 38701-4901 |
| Practice Telephone | 6625805221 |
| Practice Fax Number | 6627960611 |
| Mailing Telephone | 6625805221 |
| Mailing Fax Number | 6627960611 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | MS. BETTIE J PRUITT (OWNER) |
| Authorized Official Telephone | 6625805221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
424 HIGHWAY 1 S |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144888488 | Destinee Markia Gardner | Homemaker | 525 Seville Rd, Greenville, NC 27834-4890 | 2019-06-02 |
| 1447388277 | Wayne County Health Center | Homemaker | 115 Hickory Street, Greenville, MO 69344-0259 | 2007-03-01 |
| 1992203442 | Tashaka Jenkins | Homemaker | 827 Main St, Greenville, MS 38701-4110 | 2018-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011682 | Tiffany Denice Redd | Homemaker | 15092 S Jackson St, Durant, MS 39063-3900 | 2020-10-23 |
| 1952924763 | Southern Touch Homemaker & Comfort Agency LLC | Homemaker | 501a Lumberton Rd, Columbia, MS 39429-3515 | 2020-05-27 |
| 1831710714 | Annette Santiago | Homemaker | 2019 Springwood Rd, Gautier, MS 39553-7301 | 2020-05-01 |
| 1548895261 | More Than Help Healthcare Services LLC | Homemaker | 124 Carriage Ln, Florence, MS 39073-6015 | 2020-03-04 |
| 1467083907 | Ratoya Walker | Homemaker | 34 Jims Rd, Columbia, MS 39429-8265 | 2020-02-03 |
| 1982249702 | Patricia A Holloway | Homemaker | 115 S Pearl St, Carthage, MS 39051-4131 | 2019-11-15 |
| 1124662531 | Dorothy M Moore | Homemaker | 2211 Highway 45 N Ste G2211, Meridian, MS 39301-2730 | 2019-10-30 |
| 1912548181 | Tammy S Ramsey | Homemaker | 4653 Highway 15 N, Laurel, MS 39443-9473 | 2019-09-30 |
| 1780232801 | Kimberly Thompson | Homemaker | 230 Sawyer Rd, Winona, MS 38967-9504 | 2019-09-02 |
| 1376103408 | Deneitra Jones | Homemaker | 131 Bainbridge Xing, Canton, MS 39046-6031 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 38701 |
Please comment or provide details below to improve the information on PORT CITY PERSONAL CARE SERVICES LLC.
| 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.