Sos Transitional Living Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOS TRANSITIONAL LIVING SERVICES, LLC

Practice address

214 Broadway Dr
Hattiesburg, MS 39401-5084

Phone

(601) 441-2220

Fax

(601) 602-1059

NPI assigned

Oct 18, 2021

Organization subpart

Yes

Parent organization

SOS TRANSITIONAL LIVING SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Ricketia Estella McKenzie

Title

Manager, Ceo

Phone

(601) 441-2220

Specialties & licenses 6

Addresses

Other names 1

• Higher Healthcare Doing business as

Electronic endpoints 1

Part of

Sos Transitional Living Services LLC

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1194488007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 S 28TH AVENUE EXT",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023450",
            "telephone_number": "601-441-2220",
            "fax_number": "601-602-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 BROADWAY DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015084",
            "telephone_number": "601-441-2220",
            "fax_number": "601-602-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS TRANSITIONAL LIVING SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOS TRANSITIONAL LIVING SERVICES, LLC",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "RICKETIA",
        "authorized_official_middle_name": "ESTELLA",
        "authorized_official_title_or_position": "MANAGER, CEO",
        "authorized_official_telephone_number": "601-441-2220"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sostransitionalliving.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 Broadway Dr",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394015084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Higher Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.