Elite Professional Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELITE PROFESSIONAL HOMECARE, LLC

Practice address

405 Briarwood Dr Ste 205B2
Jackson, MS 39206-3052

Phone

(601) 745-0127

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Jhamigkha Williams

Title

Cna/Owner

Phone

(601) 357-0773

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1386310951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 OAK ST",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393453038",
            "telephone_number": "601-745-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 205B2",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063052",
            "telephone_number": "601-745-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PROFESSIONAL HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JHAMIGKHA",
        "authorized_official_title_or_position": "CNA/OWNER",
        "authorized_official_telephone_number": "601-357-0773"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICAL",
            "identifier": "1269950",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Elitehomecare21@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7 5th Street",
            "city": "Decatur",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• 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 Feb 8, 2024; 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.