Cynthia Avery

Individual provider Active NPI Personal Care Attendant · Waynesboro, MS

NPI 1194452284 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1194452284
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
121A Mississippi Dr
Waynesboro, MS 39367-3049
Phone
(601) 410-2400
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Embracing Arms Homecare Services LLC Home Health Aide Current
since Aug 14, 2022
Accepting new patients

Locations

121A Mississippi Dr
Waynesboro, MS 39367
Phone (601) 410-2400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Community Health Worker 172V00000X
Chore Provider 372500000X
Adult Companion 372600000X
Attendant Care Provider 3747A0650X
Religious Nonmedical Nursing Personnel 374T00000X
Home Health Aide 374U00000X
Nurse's Aide 376K00000X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

121A Mississippi Dr
Waynesboro, MS 39367-3049

Mailing address

231 Gravel Hill Rd
State Line, MS 39362-9517
Phone (601) 394-9810

Other providers in Waynesboro, MS

All providers in Waynesboro, MS · Personal Care Attendant in Mississippi

Sources for this page

Verify at the official NPI Registry.