Chase Personal Care Home Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

163WC1500X Issued in MS

Legal business name

CHASE PERSONAL CARE HOME SERVICES

Practice address

222 Linglewood Dr
Byram, MS 39272-6018

Phone

(601) 613-9971

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kyla Weary Chase, RN

Title

Ceo

Phone

(601) 613-9971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1144533167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LINGLEWOOD DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726018",
            "telephone_number": "601-613-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LINGLEWOOD DR",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392726018",
            "telephone_number": "601-613-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE PERSONAL CARE HOME SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "KYLA",
        "authorized_official_middle_name": "WEARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-613-9971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "163WC1500X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.