Mississippi State Department of Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1381 Issued in MS

Legal business name

MISSISSIPPI STATE DEPARTMENT OF HEALTH

Doing business as

Tombigbee Home Health Agency 4B

Practice address

797 S Jackson St
Route 1 Box 1049
Houston, MS 38851-7662

Phone

(662) 456-3791

Fax

(662) 456-3979

NPI assigned

Nov 29, 2005

Last updated

Jun 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel P Edney, MD, FACP

Title

State Health Officer

Phone

(601) 576-7634

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tombigbee Home Health Agency 4B Doing business as

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1013990530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 S JACKSON ST",
            "address_2": "ROUTE 1 BOX 1049",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517662",
            "telephone_number": "662-456-3791",
            "fax_number": "662-456-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 S JACKSON ST",
            "address_2": "ROUTE 1 BOX 1049",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "388517662",
            "telephone_number": "662-456-3791",
            "fax_number": "662-456-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "EDNEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "STATE HEALTH OFFICER",
        "authorized_official_telephone_number": "601-576-7634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "1381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070500",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tombigbee Home Health Agency 4B",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tombigbee Home Health Agency 4B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lotts of Love
• Madison East Internal Medicine LLC
• Amanda Brand Mahan, FNP-C
• MCM of Mississippi LLC (houston family pharmacy)
• Med Express of Mississppi
• Mississippi State Department of Health
• Natalie Mitchell, LCSW
• Derek Moeller, M.D.
• Laveta Moore
• William Morgan, MD

• Home Health Agency in Houston, MS
• Providers in Houston, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.