Custom Care Consultants, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

1066035 Issued in MS

Legal business name

CUSTOM CARE CONSULTANTS, LLC

Practice address

1403 Van Buren Ave
Oxford, MS 38655-4091

Phone

(601) 813-9535

NPI assigned

Feb 15, 2018

Organization subpart

No

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

Authorized official

Name

Ellis Winton McInnis IV

Title

President

Phone

(601) 813-9535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1053811257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 VAN BUREN AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 VAN BUREN AVE",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386554091",
            "telephone_number": "601-813-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "MCINNIS",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "WINTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-813-9535",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MS",
            "license": "1066035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert B Culpepper, M.D.
• Jazmine Cummings, CRNA
• Christopher J Cummins, M.D.
• Christianne M. Curbow, FNP-C
• Riley Margaret Curie, MA
• Molly Shivers Cutcliffe, FNP-C
• Willis N Dabbs, MD
• Christopher Dahl, PA-C
• Eric Paul Dahl, DO
• Jessica Simone Butler Daigle, M.D.

• Nursing Care Agency in Oxford, MS
• Providers in Oxford, MS by specialty
• Nursing Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.