Organization Active NPI

MCM Health LLC

  • Home Health Agency
  • Jackson, MS
National Provider Identifier
1487162004
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MCM HEALTH LLC
Practice address
5420 Executive PL
Jackson, MS 39206-4103
Phone
(601) 541-0447
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Mrs. Winifred Carson-Smith, ESQ.
Title
Owner
Phone
(601) 541-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5420 Executive PL
Jackson, MS 39206-4103

Mailing address

5420 Executive PL
Jackson, MS 39206-4103
Phone (601) 541-0447

National Provider Directory

National Provider Directory

Locations

5420 Executive Pl
Jackson, MS 39206
Phone (601) 541-0447

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1487162004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 EXECUTIVE PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064103",
            "telephone_number": "601-541-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 EXECUTIVE PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064103",
            "telephone_number": "601-541-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "CARSON-SMITH",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-541-0447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 2018; 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.