Organization Active NPI

New Beginnings Home Care

  • In Home Supportive Care Agency
  • Greenville, MS
National Provider Identifier
1073071411
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NEW BEGINNINGS HOME CARE
Practice address
819 Main St Ste 3
Greenville, MS 38701-4100
Phone
(662) 537-5248
NPI assigned
Mar 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Miss Andrea Latrice Harvey, CNA
Title
Owner
Phone
(662) 537-5248

Specialties & licenses 1

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

Addresses

Primary practice location

819 Main St Ste 3
Greenville, MS 38701-4100

Mailing address

116 Gregory St
Greenville, MS 38701-7617
Phone (662) 537-5248

Other identifiers 1

IdentifierTypeStateIssuer
802511351MedicaidMS

Other names 1

  • New Beginnings Home Care LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

819 Main St
Ste 3
Greenville, MS 38701
Phone (662) 537-5248

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1073071411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 GREGORY ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387017617",
            "telephone_number": "662-537-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MAIN ST STE 3",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014100",
            "telephone_number": "662-537-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-537-5248",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "802511351",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings Home Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.