On Call Nursing Agency

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

R870313 Issued in MS

Legal business name

ON CALL NURSING AGENCY

Practice address

310 Cain Ridge Rd
A7
Vicksburg, MS 39180-6054

Phone

(601) 218-8930

Fax

(601) 218-8930

NPI assigned

Dec 21, 2012

Organization subpart

No

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

Authorized official

Name

Michelle L Hawkins, RN

Title

RN

Phone

(601) 218-8930

Specialties & licenses 2

Addresses

Other names 1

• NA Doing business as

Tax ID family

On Call Nursing Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tj3Am3

  • Home Health Agency
  • Vicksburg, MS
  • NPI 1912179078
  NPD tax ID

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1306182274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CAIN RIDGE RD",
            "address_2": "A7",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391806054",
            "telephone_number": "601-218-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CAIN RIDGE RD",
            "address_2": "A7",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391806054",
            "telephone_number": "601-218-8930",
            "fax_number": "601-218-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON CALL NURSING AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "601-218-8930",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "R870313",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "R870313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Takaila Oliphant
• Olatunji Jonathan Oluwatade, MD
• Amber Nicole Overstreet, AGACNP
• Bridgette Owens-Lews
• Shantika Lynette Page, CSS
• Holly Palmer
• Mack Pampley

• Community Based Hospice Care Agency in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.