Organization Active NPI

Burnham's Vital Care LLC

  • Home Infusion Agency
  • Moss Point, MS
National Provider Identifier
1174693105
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
Legal business name
BURNHAM'S VITAL CARE LLC
Practice address
4931 Main St # B
Moss Point, MS 39563-2746
Phone
(228) 474-4663
Fax
(228) 474-7660
NPI assigned
Nov 8, 2006
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Alvin Craig Sartin
Title
President
Phone
(228) 474-4663

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 05113021 MS
Oxygen Equipment & Supplies (DME) 332BX2000X 05113021 MS
Pharmacy 333600000X 05113021 MS
Community/Retail Pharmacy 3336C0003X 05113021 MS
Home Infusion Therapy Pharmacy 3336H0001X 05113021 MS
Mail Order Pharmacy 3336M0002X 05113021 MS
Specialty Pharmacy 3336S0011X 05113021 MS

Addresses

Primary practice location

4931 Main St # B
Moss Point, MS 39563-2746

Mailing address

4931 Main St # B
Moss Point, MS 39563-2746
Phone (228) 474-4663

Other identifiers 5

IdentifierTypeStateIssuer
000030050OtherMSBCBS OF MS
02577580MedicaidMS
1268160MedicaidMS
2520840OtherNABP
611333100OtherMSOWCP - DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080512000171 MS Part B Supplier - Pharmacy 1355420670 Practice locations: Moss Point, MS
O20100930005675 MS DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1355420670 Practice locations: Moss Point, MS

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4931 Main St
Ste B
Moss Point, MS 39563
Phone (228) 474-4663

4931 Main St
Unit B
Moss Point, MS 39563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1174693105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 MAIN ST # B",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632746",
            "telephone_number": "228-474-4663",
            "fax_number": "228-474-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 MAIN ST # B",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395632746",
            "telephone_number": "228-474-4663",
            "fax_number": "228-474-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNHAM'S VITAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "SARTIN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-474-4663"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "05113021",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "05113021",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "05113021",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "05113021",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "05113021",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "MS",
            "license": "05113021",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MS",
            "license": "05113021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MS",
            "identifier": "000030050",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02577580",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1268160",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2520840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - DME",
            "identifier": "611333100",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.