Special Care Plus Homehealth LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECIAL CARE PLUS HOMEHEALTH LLC

Practice address

110 Robinson CV
Byram, MS 39272-9435

Phone

(601) 454-5504

NPI assigned

Jun 24, 2021

Last updated

Jun 24, 2021By 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

Carla Phillips-Coakley, FNP-C

Title

Family Nurse Practitioner

Phone

(601) 454-5504

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1255900056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ROBINSON CV",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729435",
            "telephone_number": "601-454-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ROBINSON CV",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392729435",
            "telephone_number": "601-454-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE PLUS HOMEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-COAKLEY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-454-5504",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jun 24, 2021; 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.