NPIMap

Organization Active NPI

Open Heart Senior Home Care, LLC

Doing business as Open Heart Senior Home Care

  • In Home Supportive Care Agency
  • Port Gibson, MS
National Provider Identifier
1285129726
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OPEN HEART SENIOR HOME CARE, LLC
Doing business as
Open Heart Senior Home Care
Practice address
2086 Highway 61 N Ste B
Port Gibson, MS 39150-4263
Phone
(601) 617-9254
NPI assigned
Jun 27, 2018
Last updated
Jun 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Mrs. Cassandra Louise Williams
Title
Owner
Phone
(601) 617-9254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2086 Highway 61 N Ste B
Port Gibson, MS 39150-4263

Mailing address

2086 Highway 61 N Ste B
Port Gibson, MS 39150-4263
Phone (601) 617-9254

Other names 1

  • Open Heart Senior Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

2086 Highway 61 N
#B
Port Gibson, MS 39150
Phone (601) 617-9254

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1285129726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 HIGHWAY 61 N STE B",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391504263",
            "telephone_number": "601-617-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 HIGHWAY 61 N STE B",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391504263",
            "telephone_number": "601-617-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN HEART SENIOR HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-617-9254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Heart Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.