Embassy Home Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

EMBASSY HOME CARE, LLC

Practice address

298 Commerce Park Dr Ste D
Ridgeland, MS 39157-2237

Phone

(601) 790-1260

NPI assigned

Mar 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Lawanda L KirklandNPI 1194357202

Title

Ceo

Phone

(601) 790-1260

Specialties & licenses 1

Addresses

Tax ID family

Embassy Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Embassy Home Care, LLC

  • Community/Behavioral Health Agency
  • Ridgeland, MS
  • NPI 1891629036
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawanda L Kirkland

  • Administrator Registered Nurse
  • Ridgeland, MS
  • NPI 1194357202
  NPD Authorized official

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1063046902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2209",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391302209",
            "telephone_number": "601-790-1260",
            "fax_number": "601-605-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 COMMERCE PARK DR STE D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572237",
            "telephone_number": "601-790-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBASSY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "LAWANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-790-1260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kaylan Elliott, SLP
• Tanya Elmore, PT
• Embassy Home Care, LLC
• Emeritus Corporation
• Emmanuel Health Services
• Endodontic Associates, PLLC
• Elizabeth K Enger, SLP

• Nursing Care Agency in Ridgeland, MS
• Providers in Ridgeland, 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 Mar 1, 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.