Lucent Heart Homecare

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

LUCENT HEART HOMECARE

Practice address

10067 Ponderosa PL
Vancleave, MS 39565-5168

Phone

(662) 822-1429

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By 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

Kimberly SandersNPI 1437911955

Title

Owner

Phone

(662) 822-1429

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Nicole Sanders

  • Personal Care Attendant
  • Vancleave, MS
  • NPI 1437911955

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1306608823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 PONDEROSA PL",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395655168",
            "telephone_number": "662-822-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10067 PONDEROSA PL",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395655168",
            "telephone_number": "662-822-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCENT HEART HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-822-1429"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie E Landry, CFNP
• Jami Lechner, FNP-C
• Michael E Lee, FNP-C
• Matthew Wesley Lewis, M.D.
• Thomas Jordan Lucak, MD
• Mail Order Medical Supplies LLC
• Esther Mamboweninga
• Anil K Mangal, DPT
• John Michael Martin, NP
• Massage Connexion, LLC

• Personal Care Attendant in Vancleave, MS
• Providers in Vancleave, MS by specialty
• Personal Care Attendant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.