Mississippi Superior Senior Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MISSISSIPPI SUPERIOR SENIOR SERVICES

Doing business as

Right at Home

Practice address

6340 Kiln Delisle Rd Ste a
Pass Christian, MS 39571-9719

Phone

(228) 255-9225

Fax

(228) 255-7019

NPI assigned

Jul 2, 2018

Last updated

Jul 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liberty Fontana

Title

Office Manager

Phone

(228) 255-9225

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Right at Home Doing business as

Locations

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1134615248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 KILN DELISLE RD STE A",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719719",
            "telephone_number": "228-255-9225",
            "fax_number": "228-255-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 KILN DELISLE RD STE A",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719719",
            "telephone_number": "228-255-9225",
            "fax_number": "228-255-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI SUPERIOR SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "FONTANA",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-255-9225"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04755841",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05903259",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Miller, LPC
• Mind Repose LLC (The Historic Blue Rose Recovery Mansion)
• Mind Works Therapy PLLC (Mind Works Psychologists)
• Mission Nutrition, L.L.C.
• Mississippi Dental Arts
• Kristi Mong, PH.D.
• Michael Mong, PH.D., BCBA-D, LBA
• Dominica Montano, LCSW
• Shellely Jon Moore, DNP
• Shayla Morgan, RN

• In Home Supportive Care Agency in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.