Organization Active NPI

Professional Quality Healthcare

Doing business as Professional Quality Hyealthcare LLC

  • Community Health Worker
  • Jackson, MS
National Provider Identifier
1447989082
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
PROFESSIONAL QUALITY HEALTHCARE
Doing business as
Professional Quality Hyealthcare LLC
Practice address
2310 Highway 80 W Ste 2260
Jackson, MS 39204-2383
Phone
(769) 867-1455
NPI assigned
Jun 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Frederick Bernard ReginalNPI 1821567868
Title
Owner
Phone
(769) 867-1455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

2310 Highway 80 W Ste 2260
Jackson, MS 39204-2383

Mailing address

2310 Highway 80 W Ste 2260
Jackson, MS 39204-2383
Phone (769) 867-1455

Other names 1

  • PROFESSIONAL QUALITY HYEALTHCARE LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1447989082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 80 W STE 2260",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042383",
            "telephone_number": "769-867-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 HIGHWAY 80 W STE 2260",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392042383",
            "telephone_number": "769-867-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL QUALITY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "REGINAL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-867-1455"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL QUALITY HYEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.