Organization Active NPI

Healthcare at Home

  • Primary Care Clinic/Center
  • McComb, MS
National Provider Identifier
1366909947
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on May 3, 2019

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL hcahome@yahoo.com

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.