Candace Elease Thomas Harvey

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

385H00000X Issued in MS

Practice address

105 E Cunningham St SS
Terry, MS 39170

Phone

(601) 983-7168

Fax

(769) 257-5659

NPI assigned

May 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C & C Nursing Company

  dba C & C Nursing Company Hospice Care

  • Community Based Hospice Care Agency
  • Pearl, MS
  • NPI 1194255570
  NPD Authorized official
• Home Medical Pharmacy

  • Pharmacy Technician
  • Terry, MS
  • NPI 1912844606
  NPD

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1083025241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391700515",
            "telephone_number": "601-983-7168",
            "fax_number": "769-251-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E CUNNINGHAM ST SS",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "39170",
            "telephone_number": "601-983-7168",
            "fax_number": "769-257-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS HARVEY",
        "first_name": "CANDACE",
        "middle_name": "ELEASE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "MS",
            "license": "385H00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00503597",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Discount Drugs
• Terry Discount Drugs
• Terry Family Medical Clinic
• TF Acquisition LLC (Oasis Haven Assisted Living)
• TF Community Mental Health LLC
• Shavonn R. Watkins, PH.D.
• Emilie Jo Weaver
• Betty Swain Weiss
• Whitney William Healthcare, LLC
• Franklin Winfield

• Attendant Care Provider in Terry, MS
• Providers in Terry, MS by specialty
• Attendant Care Provider in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.