Randolph'S Devoted Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RANDOLPH'S DEVOTED HOME CARE

Practice address

6901 Highway 305 N Ste F
Olive Branch, MS 38654-2317

Phone

(901) 347-7221

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Bianca Richmond

Title

Ceo/President

Phone

(662) 755-5066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1013534650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 HIGHWAY 305 N STE F",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542317",
            "telephone_number": "662-755-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 HIGHWAY 305 N STE F",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542317",
            "telephone_number": "901-347-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH'S DEVOTED HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "662-755-5066"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.