Active NPI
Carol Newton
- In Home Supportive Care Agency
- Hazlehurst, MS
National Provider Identifier
1083128698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 16165 Highway 51
Hazlehurst, MS 39083-2002 - Phone
- (601) 894-1120
- Fax
- (844) 270-3071
- NPI assigned
- Nov 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 07733847 | MS | |
| Respite Care | 385H00000X | 03734041 | MS | |
| In Home Supportive Care Agency | 253Z00000X | MS | Primary |
Addresses
Primary practice location
16165 Highway 51
Hazlehurst, MS 39083-2002
Mailing address
PO Box 326
Hazlehurst, MS 39083-0326
Phone (601) 894-1120
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03734041 | Medicaid | MS | |
| 07733847 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07733847 | MS | MD | Homemaker |
| 03734041 | MS | MD | Respite Care |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heavenly Hand Services, LLC | Respite Care | Current | Accepting new patients |
| Heavenly Hands Services, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Hazlehurst, MS
- NPI 1013457357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1083128698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "HAZLEHURST",
"state": "MS",
"postal_code": "390830326",
"telephone_number": "601-894-1120",
"fax_number": "844-270-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16165 HIGHWAY 51",
"city": "HAZLEHURST",
"state": "MS",
"postal_code": "390832002",
"telephone_number": "601-894-1120",
"fax_number": "844-270-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "MS",
"license": "07733847",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MS",
"license": "03734041",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03734041",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07733847",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazlehurst, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.