Dependable Source Corp. of Ms

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DEPENDABLE SOURCE CORP. OF MS

Practice address

1840 S West St
Suite a
Jackson, MS 39201-6402

Phone

(601) 355-3889

Fax

(601) 355-3885

NPI assigned

Oct 16, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Willie Jones

Title

President

Phone

(601) 355-3889

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1316318264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3007",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39207",
            "telephone_number": "601-355-3889",
            "fax_number": "601-355-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S WEST ST",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392016402",
            "telephone_number": "601-355-3889",
            "fax_number": "601-355-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPENDABLE SOURCE CORP. OF MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-355-3889",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03151797",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00785801",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Deornellas, PHARM.D.
• Stephanie Depaepe
• Department of Veterans Affair G.V. (Sonny) Montgomery VA Medical Cente
• Department of Veterans Affairs
• Department of Veterans Affairs
• Dept. of Veteran Affairs
• Mattie Derivaux
• Dermatology Associates LLC
• Dermatopathology Associates, PLLC
• Benjamin David Derrick, BIBLICAL COUNSELOR

• Home Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.