Anointed Caregiver LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANOINTED CAREGIVER LLC

Practice address

585 Stewart Street
Holly Springs, MS 38635

Phone

(662) 274-3061

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Derenda Williams

Title

Owner/President/Administrator

Phone

(662) 274-3061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1174123442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7986 HIGHWAY 72",
            "city": "MICHIGAN CITY",
            "state": "MS",
            "postal_code": "386478891",
            "telephone_number": "662-274-3061",
            "fax_number": "662-274-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART STREET",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "38635",
            "telephone_number": "662-274-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOINTED CAREGIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DERENDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "662-274-3061"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "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 Oct 29, 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.