Care at Home Mississippi

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CARE AT HOME MISSISSIPPI

Practice address

7 Professional Pkwy Ste 101
Hattiesburg, MS 39402-2648

Phone

(847) 563-0295

Fax

(847) 563-3331

NPI assigned

Jul 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Tracy JacksonNPI 1871894899

Title

Agency Manager/Owner

Phone

(847) 563-0295

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy I Jackson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Evanston, IL
  • NPI 1871894899
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1003596008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 LAKE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014068",
            "telephone_number": "847-563-0295",
            "fax_number": "847-563-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROFESSIONAL PKWY STE 101",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022648",
            "telephone_number": "847-563-0295",
            "fax_number": "847-563-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AT HOME MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "AGENCY MANAGER/OWNER",
        "authorized_official_telephone_number": "847-563-0295",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela M Cameron, LCSW
• Glenn A Campbell, MD
• Joe H Campbell, MD
• Cancer Care of Hattiesburg PLLC
• Care Absolute Home LLC
• Care180
• Caregivers of Mississippi LLC
• Carewell Personal Care Services, LLC
• Thomas Edwards Carey, M.D.
• Caring Touch Homecare Services

• In Home Supportive Care Agency in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.