Family Medical Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FAMILY MEDICAL HOME CARE SERVICES LLC

Practice address

5040 Clinton Blvd
Jackson, MS 39209-3262

Phone

(769) 823-6516

NPI assigned

Jul 29, 2015

Last updated

Aug 4, 2015By 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

Vickie Danette Myers Buchanan

Title

President

Phone

(769) 823-6516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1407231541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFIECE BOX 11233",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39283",
            "telephone_number": "769-823-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CLINTON BLVD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392093262",
            "telephone_number": "769-823-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "MYERS BUCHANAN",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "DANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "769-823-6516"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bassam Farhat, MD
• Nisma Faridi
• Myles Darian Faries, OT

• In Home Supportive Care Agency in Jackson, MS
• Providers in Jackson, 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 Aug 4, 2015; 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.