NPIMap

Organization Active NPI

Washington Home Health Agency, LLC

  • In Home Supportive Care Agency
  • Vicksburg, MS
National Provider Identifier
1316314941
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WASHINGTON HOME HEALTH AGENCY, LLC
Practice address
3402 Wisconsin Ave Ste 10
Vicksburg, MS 39180-5378
Phone
(601) 218-7280
Fax
(601) 501-1168
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Miss Natasha Nicole Washington
Title
Ceo/Owner
Phone
(601) 218-7280

Specialties & licenses 1

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

Addresses

Primary practice location

3402 Wisconsin Ave Ste 10
Vicksburg, MS 39180-5378

Mailing address

3402 Wisconsin Ave Ste 10
Vicksburg, MS 39180-5378
Phone (601) 218-7280

National Provider Directory

National Provider Directory
Tax ID family
Washington Home Health Agency LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1316314941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 WISCONSIN AVE STE 10",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805378",
            "telephone_number": "601-218-7280",
            "fax_number": "601-501-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 WISCONSIN AVE STE 10",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805378",
            "telephone_number": "601-218-7280",
            "fax_number": "601-501-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "601-218-7280",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.