Palmetto Senior Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PALMETTO SENIOR CARE

Doing business as

Home Instead Senior Care

Practice address

807 Monroe St
Clinton, MS 39056-3729

Phone

(601) 926-1181

Fax

(601) 926-1184

NPI assigned

May 10, 2022

Organization subpart

No

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

Authorized official

Name

Charles William Hiers III

Title

President

Phone

(601) 926-1181

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1386380590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 MONROE ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563729",
            "telephone_number": "601-926-1181",
            "fax_number": "601-926-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 MONROE ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563729",
            "telephone_number": "601-926-1181",
            "fax_number": "601-926-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "HIERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-926-1181",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Nicole Owen
• Johnnie Mae Owens, CNA CHILD CARE CREDE
• Tonia Rene Owens
• Jada Palmer
• Jakayla Palmer
• Walter Pang, O.D.
• Bobby C Pankey, O.D.
• Dillon J Pankey, OD
• Park Dental Group - Clinton PLLC
• Jessica Parker, PTA

• In Home Supportive Care Agency in Clinton, MS
• Providers in Clinton, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.