Active NPI
Jennifer McNeil
- Home Health Agency
- Jackson, MS
National Provider Identifier
1023647955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 5814 Clinton Blvd # 2B
Jackson, MS 39209-2807 - Phone
- (601) 724-2155
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MS | Primary |
Addresses
Primary practice location
5814 Clinton Blvd # 2B
Jackson, MS 39209-2807
Mailing address
PO Box 12132
Jackson, MS 39236-2132
Phone (601) 724-2155
Other practice location 1
212 Trace Dr
Pearl, MS 39208-8089
Phone (601) 724-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585958400000",
"number": "1023647955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12132",
"city": "JACKSON",
"state": "MS",
"postal_code": "392362132",
"telephone_number": "601-724-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5814 CLINTON BLVD # 2B",
"city": "JACKSON",
"state": "MS",
"postal_code": "392092807",
"telephone_number": "601-724-2155"
}
],
"practiceLocations": [
{
"address_1": "212 Trace Dr",
"address_purpose": "LOCATION",
"city": "Pearl",
"state": "MS",
"postal_code": "392088089",
"country_code": "US",
"telephone_number": "601-724-2155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEIL",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-02",
"last_updated": "2020-04-04",
"certification_date": "2020-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.