NPIMap

Organization Active NPI

Brusha Home Care Services

  • Non-emergency Medical Transport (VAN)
  • Forest, MS
National Provider Identifier
1346394897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
956 Issued in MS
Legal business name
BRUSHA HOME CARE SERVICES
Practice address
150 Willis Rd
Forest, MS 39074-9046
Phone
(601) 775-0264
Fax
(601) 775-0264
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Beulah J. Patrick
Title
Owner
Phone
(601) 775-0264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 956 MS Primary

Addresses

Primary practice location

150 Willis Rd
Forest, MS 39074-9046

Mailing address

150 Willis Rd
Forest, MS 39074-9046
Phone (601) 775-0264

National Provider Directory

National Provider Directory
Tax ID family
Brusha Home Care Service2 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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346394897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WILLIS RD",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390749046",
            "telephone_number": "601-775-0264",
            "fax_number": "601-775-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WILLIS RD",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390749046",
            "telephone_number": "601-775-0264",
            "fax_number": "601-775-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSHA HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "BEULAH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-775-0264",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.