First Care 101K LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST CARE 101K LLC

Practice address

204 Louis Carter Rd
Harrisville, MS 39082-4117

Phone

(601) 858-2056

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By 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

Shirley Ann Smith

Title

Manager

Phone

(601) 858-2056

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1225750359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOUIS CARTER RD",
            "city": "HARRISVILLE",
            "state": "MS",
            "postal_code": "390824117",
            "telephone_number": "601-858-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LOUIS CARTER RD",
            "city": "HARRISVILLE",
            "state": "MS",
            "postal_code": "390824117",
            "telephone_number": "601-858-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE 101K LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-858-2056"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Sep 15, 2022; 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.