Active NPI
City Home Care, LLC
- Home Health Agency
- Southaven, MS
National Provider Identifier
1093046336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 2330
- Legal business name
- CITY HOME CARE, LLC
- Practice address
- 3324 Goodman Rd E
Southaven, MS 38672-6433 - Phone
- (601) 213-4893
- Fax
- (901) 744-7583
- NPI assigned
- Jan 27, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cherryl E. Jones
- Title
- Director
- Phone
- (601) 213-4893
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 2330 | MS | Primary |
Addresses
Primary practice location
3324 Goodman Rd E
Southaven, MS 38672-6433
Mailing address
3324 Goodman Rd E
Southaven, MS 38672-6433
Phone (601) 213-4893
National Provider Directory
National Provider Directory- Tax ID family
- City Home Care LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Southaven, MS
- NPI 1528249869
-
- Home Health Agency
- Southaven, MS
- NPI 1639400971
Locations
3324 Goodman Rd E
Southaven, MS 38672
Phone (601) 213-4893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1093046336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726433",
"telephone_number": "601-213-4893",
"fax_number": "901-744-7583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 GOODMAN RD E",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386726433",
"telephone_number": "601-213-4893",
"fax_number": "901-744-7583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-27",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CHERRYL",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "601-213-4893",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MS",
"license": "2330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.