Active NPI
Healthcare at Home
- Primary Care Clinic/Center
- McComb, MS
National Provider Identifier
1366909947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HEALTHCARE AT HOME
- Practice address
- 221 State St
McComb, MS 39648-3938 - Phone
- (601) 324-3233
- Fax
- (833) 298-8466
- NPI assigned
- Mar 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernetta Lashawn Smith, FNP
- Title
- Owner
- Phone
- (601) 249-7251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
221 State St
McComb, MS 39648-3938
Mailing address
PO Box 7057
McComb, MS 39649-7057
Other practice location 1
1080 Morgantown Rd
McComb, MS 39648-8442
Phone (601) 249-7251
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hcahome@yahoo.com |
National Provider Directory
National Provider DirectoryLocations
221 State St
McComb, MS 39648
Phone (601) 324-3233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556841600000",
"number": "1366909947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7057",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396497057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 STATE ST",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483938",
"telephone_number": "601-324-3233",
"fax_number": "833-298-8466"
}
],
"practiceLocations": [
{
"address_1": "1080 Morgantown Rd",
"address_purpose": "LOCATION",
"city": "McComb",
"state": "MS",
"postal_code": "396488442",
"country_code": "US",
"telephone_number": "601-249-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHCARE AT HOME",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-01",
"last_updated": "2019-05-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BERNETTA",
"authorized_official_middle_name": "LASHAWN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-249-7251",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hcahome@yahoo.com",
"affiliation": "N",
"endpointDescription": "Mailing",
"address_1": "221 State St",
"city": "McComb",
"state": "MS",
"country_code": "US",
"postal_code": "396483938",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.