Active NPI
Humble Hearts Personal & Respite Service
- Home Health Agency
- Jackson, MS
National Provider Identifier
1255734463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- A053367
- Legal business name
- HUMBLE HEARTS PERSONAL & RESPITE SERVICE
- Practice address
- 4801 Autumn Woods Dr Apt 105
Jackson, MS 39206-6221 - Phone
- (601) 937-7265
- NPI assigned
- Oct 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Williams
- Title
- Owner
- Phone
- (601) 937-7265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | A053367 | MS | Primary |
Addresses
Primary practice location
4801 Autumn Woods Dr Apt 105
Jackson, MS 39206-6221
Mailing address
4801 Autumn Woods Dr Apt 105
Jackson, MS 39206-6221
Phone (601) 937-7265
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412121600000",
"number": "1255734463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 AUTUMN WOODS DR APT 105",
"city": "JACKSON",
"state": "MS",
"postal_code": "392066221",
"telephone_number": "601-937-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 AUTUMN WOODS DR APT 105",
"city": "JACKSON",
"state": "MS",
"postal_code": "392066221",
"telephone_number": "601-937-7265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBLE HEARTS PERSONAL & RESPITE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-937-7265"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MS",
"license": "A053367",
"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 Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.