Fideltyhealthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIDELTYHEALTHCARE

Practice address

127 Garett Drive
Terry, MS 39170

Phone

(601) 397-2953

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Shavonda Fields

Title

Owner

Phone

(601) 397-2953

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1093120602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GARETT DRIVE",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "39170",
            "telephone_number": "601-397-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GARETT DRIVE",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "39170",
            "telephone_number": "601-397-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELTYHEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "SHAVONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-397-2953"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Mississippi Civic Improvement Association, Inc. (Jackson-Hinds Comprehensive Health Center Byram Middle School-based Cl)
• Central Mississippi Civic Improvement Association, Inc. (Jackson-Hinds Comprehensive Health Center - Terry High School-based Cl)
• Keneen Childress, C.S.A
• Christopher Shan Cothern, MS, LPC, LMFT
• Elite Indigo
• Foundations Counseling of Byram, LLC
• Fresh Start Community Services, LLC
• Hinds County School District (Byram Middle School)
• Home Medical Pharmacy
• Hope Healthcare Agency, LLC

• Home Health Agency in Terry, MS
• Providers in Terry, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.