Carefree Living at Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAREFREE LIVING AT HOME LLC

Practice address

460 Briarwood Dr Ste 400-1010
Jackson, MS 39206-3051

Phone

(601) 301-9400

Fax

(601) 368-8904

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Angela Nichole Bailey, BSN, RN

Title

Patient Care Coordinator

Phone

(601) 618-3099

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Locations

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1104456979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BRIARWOOD DR STE 400-1010",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063051",
            "telephone_number": "601-618-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BRIARWOOD DR STE 400-1010",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063051",
            "telephone_number": "601-301-9400",
            "fax_number": "601-368-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE LIVING AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "PATIENT CARE COORDINATOR",
        "authorized_official_telephone_number": "601-618-3099",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITIES FOR THE ELDERLY",
            "identifier": "623312",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carefreelivinghomecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "460 Briarwood Dr Ste 400-1010",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392063051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carefreelivinghomecare.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "460 Briarwood Dr Ste 400-1010",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392063051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carefreelivinghomecare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "460 Briarwood Dr Ste 400-1010",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392063051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.