Mississippi State Department of Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

181 Issued in MS

Legal business name

MISSISSIPPI STATE DEPARTMENT OF HEALTH

Doing business as

Southwest Home Health Agency

Practice address

317 Highland Blvd
Ste M
Natchez, MS 39120-4634

Phone

(601) 445-4350

Fax

(601) 446-8864

NPI assigned

Nov 29, 2005

Last updated

Jul 14, 2008By 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

Mrs. Melanie Bowman, RN

Title

Director of Home Health

Phone

(601) 576-7853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southwest Home Health Agency Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ms State Department of Health

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1053489260

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1154304673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND BLVD",
            "address_2": "STE M",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204634",
            "telephone_number": "601-445-4350",
            "fax_number": "601-446-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HIGHLAND BLVD",
            "address_2": "STE M",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204634",
            "telephone_number": "601-445-4350",
            "fax_number": "601-446-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR OF HOME HEALTH",
        "authorized_official_telephone_number": "601-576-7853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070500",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy #05870)
• Mississippi Diversified Healthcare Inc
• Mississippi Emergency Physician Services, LLC
• Mississippi Emergency Physician Services, LLC
• Mississippi Nephrologists LLC
• Mississippi State Department of Health
• Mom and Pop Home Care Services LLC
• Monica's Hope ' Driving for a Cure' Transportation Services LLC
• Crystal Moore, LMSW
• Kimberly Nicole Moore

• Home Health Agency in Natchez, MS
• Providers in Natchez, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.