Mississippi State Department of Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

9781 Issued in MS

Legal business name

MISSISSIPPI STATE DEPARTMENT OF HEALTH

Doing business as

Northwest Home Health Agency 1B

Practice address

100 Preston McKay Dr
Senatobia, MS 38668-2350

Phone

(662) 562-4014

Fax

(662) 562-9535

NPI assigned

Nov 29, 2005

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie Bowman, RN

Title

Director of Home Health

Phone

(601) 576-7853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northwest Home Health Agency 1B Doing business as

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1376526806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PRESTON MCKAY DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682350",
            "telephone_number": "662-562-4014",
            "fax_number": "662-562-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PRESTON MCKAY DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682350",
            "telephone_number": "662-562-4014",
            "fax_number": "662-562-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR OF HOME HEALTH",
        "authorized_official_telephone_number": "601-576-7853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "9781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070500",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Home Health Agency 1B",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Christopher Mercier, D.C.
• Anna Mary Meyers, NP
• Mary Elizabeth Milewski, PHARM. D.
• Alicia Miller, FNP-C
• Mississippi State Department of Health
• Mollicare
• Beverly Lauren Moncrief
• Hugh M Monteith, D.D.S.,P.A.
• Dale K. Morgan, R.P.T.
• Jessica Morgan, PTA

• Home Health Agency in Senatobia, MS
• Providers in Senatobia, 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 Jul 14, 2008; 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.