Organization Active NPI

Palliative Healthcare

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1215223680
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PALLIATIVE HEALTHCARE
Practice address
510 Northpointe Pkwy
Jackson, MS 39211-2301
Phone
(601) 624-3876
NPI assigned
Jun 23, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Mrs. Shameika Bridges Johnson
Title
Principal
Phone
(601) 624-3876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

510 Northpointe Pkwy
Jackson, MS 39211-2301

Mailing address

510 Northpointe Pkwy
Jackson, MS 39211-2301
Phone (601) 624-3876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1215223680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NORTHPOINTE PKWY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112301",
            "telephone_number": "601-624-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTHPOINTE PKWY",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392112301",
            "telephone_number": "601-624-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAMEIKA",
        "authorized_official_middle_name": "BRIDGES",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "601-624-3876",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.