TJ3AM3


Address: 104 Greenview Dr, Vicksburg, MS 39183-9003
Phone: 6016386262

TJ3AM3 (NPI# 1912179078) 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) 1912179078
Entity Type Organization
Organization Name TJ3AM3
Practice Address 104 Greenview Dr
Vicksburg
MS 39183-9003
Practice Telephone 6016386262
Mailing Telephone 6016386262
Enumeration Date 2008-03-28
Last Update Date 2008-03-28
Authorized Official Name MS. MICHELLE L HAWKINS (R.N. SOLE PROPRIETOR)
Authorized Official Telephone 6016386262
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251G00000X Hospice Care, Community Based R870313 MS Agencies
Y 251E00000X Home Health R870313 MS Agencies

Office Location

Street Address 104 GREENVIEW DR
City VICKSBURG
State MS
Zip Code 39183-9003

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306217823 Tracy Curtis Speech-Language Pathologist 2100 Us 61, Vicksburg, MS 39183 2015-10-09
1649566894 The Life Balance Clinic, Behavioral Health Service Social Worker 1107 B Openwood St., Vicksburg, MS 39183 2011-06-27
1245428788 Melanie Joan Waldrop Nurse Anesthetist, Certified Registered 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 2007-10-10
1871714477 Robert Michael Coleman Dentist 2356 Grove Street, Vicksburg, MS 39183 2007-05-01
1942363502 Visions Physical Therapy Physical Therapist 110 Holt Collier Dr, Vicksburg, MS 39183 2006-12-18
1023117991 Janet S Fisher Dmd Pa Dentist 1212 Mission 66, Vicksburg, MS 39183 2006-09-21
1407878663 Annette Bryant Social Worker 1107 Openwood St, Vicksburg, MS 39183 2006-07-24
1932168416 Promise Hospital of Vicksburg Inc Long Term Care Hospital 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 2006-03-22
1164945374 Walgreen Co Durable Medical Equipment & Medical Supplies 2310 Clay St, Vicksburg, MS 39183 2017-07-19
1255777025 Joyce Wanjugu Muruthi Obstetrics & Gynecology 2100 Highway 61 N, Vicksburg, MS 39183 2013-05-20
Find all providers in zip 39183

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
1881183424 Bold Touch Home Health Services Home Health 1000a Rubber Way, Vicksburg, MS 39180-8322 2018-05-09
1750812392 Blue River Healthcare, Inc Home Health 2705 Clay St, Vicksburg, MS 39183-3130 2017-03-24
1306182274 On Call Nursing Agency Home Health 310 Cain Ridge Rd, A7, Vicksburg, MS 39180-6054 2012-12-21
1497867857 Mississippi Homecare, LLC Home Health 2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 2006-08-31
1649285016 West Mississippi Home Health Services, Inc. Home Health 2080 S Frontage Rd Ste 103, Vicksburg, MS 39180 2006-07-31
1225501240 Integrity Home Care Group, LLC Home Health 8677 Halls Ferry Rd, Vicksburg, MS 39180-7047 2019-01-03
1245288943 Amedisys Mississippi, LLC Home Health 2080 S Frontage Rd, Suite 105, Vicksburg, MS 39180-5328 2006-05-04

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City VICKSBURG
Zip Code 39183

Improve Information

Please comment or provide details below to improve the information on TJ3AM3.

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.

Trending Searches