Ashley Taylor
Individual provider Active NPI Adult Companion · Benton, MS
NPI 1194585216 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1194585216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- License
- 334379 (MS)
- Practice address
- 34 Ann Dr
Benton, MS 39039-6009 - Phone
- (662) 763-7999
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334379 | MS | MD | Adult Companion |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith and Grace Healing Care, LLC | Adult Companion | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 334379 | MS | Yes |
Addresses
Primary practice location
34 Ann Dr
Benton, MS 39039-6009
Mailing address
34 Ann Dr
Benton, MS 39039-6009
Phone (662) 763-7999
Other providers in Benton, MS
- KC LTC Geriatric Specialty PLLC
- Lifecare Solutions
- Lifecare Solutions LLC
- William M Myers Jr.
- Jayla Ruschewski
All providers in Benton, MS · Adult Companion in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.