NPIMap

Organization Active NPI

South Mississippi Home Health, Inc. Region III Dba Deaconess Homecare

  • Home Health Agency
  • Hammond, LA
National Provider Identifier
1023008455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1007 Issued in LA
Legal business name
SOUTH MISSISSIPPI HOME HEALTH, INC. REGION III DBA DEACONESS HOMECARE
Practice address
307 W Minnesota Park Rd
Hammond, LA 70403-6148
Phone
(985) 429-1380
Fax
(985) 429-1344
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nancy C Jakus, RN, BSN, MBA
Title
Vice President of Operations
Phone
(601) 268-1842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1007 LA Primary

Addresses

Primary practice location

307 W Minnesota Park Rd
Hammond, LA 70403-6148

Mailing address

PO Box 16929
Hattiesburg, MS 39404-6929
Phone (601) 268-1842

Other identifiers 1

IdentifierTypeStateIssuer
1406732MedicaidLA

Other names 1

  • Deaconess HomeCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Mississippi Home Health Inc Region III Dba Deaconess Homecare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

307 W Minnesota Park Rd
Hammond, LA 70403
Phone (985) 429-1380

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023008455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16929",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394046929",
            "telephone_number": "601-268-1842",
            "fax_number": "601-268-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W MINNESOTA PARK RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036148",
            "telephone_number": "985-429-1380",
            "fax_number": "985-429-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI HOME HEALTH, INC. REGION III DBA DEACONESS HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAKUS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "601-268-1842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.