Diana Bogan
Individual provider Active NPI Home Health Agency · Hazlehurst, MS
NPI 1144939166 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1144939166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 1002A Bud LN
Hazlehurst, MS 39083-9424 - Phone
- (769) 233-1388
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1002A Bud LN
Hazlehurst, MS 39083-9424
Mailing address
1002A Bud LN
Hazlehurst, MS 39083-9424
Phone (769) 233-1388
Other providers in Hazlehurst, MS
- Tyler Barnes
- Jonathan Garrett Bass
- Bio-Medical Applications of Mississippi, Inc.
- Roger Dale Blakeney
- Blessing Hands LLC
- Carl Anthony Boykin
- Courtney Rachel Britt
- Sarah Gartman Brouckaert
- Alyssa Nichole Bryant
- Emma Louise Burns
All providers in Hazlehurst, MS · Home Health Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.