NPIMap

Organization Active NPI

Unconditional Love Home Care

  • In Home Supportive Care Agency
  • Magnolia, MS
National Provider Identifier
1063090157
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
UNCONDITIONAL LOVE HOME CARE
Practice address
2344 Hackett LN
Magnolia, MS 39652-9546
Phone
(601) 873-0018
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Tydesheaia L PoolNPI 1023664778
Title
Ceo
Phone
(601) 810-4101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2344 Hackett LN
Magnolia, MS 39652-9546

Mailing address

2344 Hackett LN
Magnolia, MS 39652-9546
Phone (601) 873-0018

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL unconditionallovehomecare09@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1063090157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2344 HACKETT LN",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396529546",
            "telephone_number": "601-873-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 HACKETT LN",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396529546",
            "telephone_number": "601-873-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNCONDITIONAL LOVE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "TYDESHEAIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-810-4101"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "unconditionallovehomecare09@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "2344 Hackett Ln",
            "city": "Magnolia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396529546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Magnolia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.