Organization Active NPI

Comfort Cove Home Care LLC

  • Home Health Agency
  • Tylertown, MS
National Provider Identifier
1083466494
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMFORT COVE HOME CARE LLC
Practice address
3 Laird Pittman Rd
Tylertown, MS 39667-4960
Phone
(601) 303-4692
NPI assigned
Apr 1, 2024
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Kimyette Magee
Title
Ceo
Phone
(601) 303-4692

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

3 Laird Pittman Rd
Tylertown, MS 39667-4960

Mailing address

3 Laird Pittman Rd
Tylertown, MS 39667-4960
Phone (601) 303-4692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1083466494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAIRD PITTMAN RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396674960",
            "telephone_number": "601-303-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LAIRD PITTMAN RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396674960",
            "telephone_number": "601-303-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT COVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "KIMYETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-303-4692"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.