Organization Active NPI

Humble Hearts Personal & Respite Service

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1255734463
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A053367 Issued in MS
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

Updated by the provider on Oct 1, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.