Carewell Personal Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CAREWELL PERSONAL CARE SERVICES, LLC

Practice address

1524 Adeline St
Suite B
Hattiesburg, MS 39401-6262

Phone

(601) 620-7990

NPI assigned

Dec 5, 2012

Last updated

Dec 5, 2012By 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. Letischa McDyess

Title

Co-Owner

Phone

(601) 620-7990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1194060921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17822",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394047822",
            "telephone_number": "601-620-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ADELINE ST",
            "address_2": "SUITE B",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394016262",
            "telephone_number": "601-620-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "MCDYESS",
        "authorized_official_first_name": "LETISCHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "601-620-7990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 Dec 5, 2012; 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.