Organization Active NPI

Health Care Medical

  • Home Infusion Agency
  • Ridgeland, MS
National Provider Identifier
1104201789
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
05882/2.5 Issued in MS
Legal business name
HEALTH CARE MEDICAL
Practice address
625 S Pear Orchard Rd
Suite a
Ridgeland, MS 39157-4836
Phone
(601) 420-0064
NPI assigned
Jul 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Authorized official

Name
Mrs. Valerie Harden
Title
President
Phone
(601) 420-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 05882/2.5 MS Primary

Addresses

Primary practice location

625 S Pear Orchard Rd
Suite a
Ridgeland, MS 39157-4836

Mailing address

625 S Pear Orchard Rd
Suite a
Ridgeland, MS 39157-4836

Other identifiers 1

IdentifierTypeStateIssuer
02736571MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Health Care Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437696000000",
    "number": "1104201789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S PEAR ORCHARD RD",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S PEAR ORCHARD RD",
            "address_2": "SUITE A",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574836",
            "telephone_number": "601-420-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-420-0064",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "MS",
            "license": "05882/2.5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02736571",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.