Providence Companion Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROVIDENCE COMPANION CARE

Doing business as

Providence Companion Care

Practice address

317 Heritage Dr Ste 3B
Oxford, MS 38655

Phone

(662) 234-0100

Fax

(662) 483-1801

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Caroline Frazer

Title

President

Phone

(662) 801-2040

Specialties & licenses 3

Addresses

Other names 1

• Providence Companion Care Doing business as

Locations

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1497236327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2047",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386148047",
            "telephone_number": "662-801-2040",
            "fax_number": "662-483-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 HERITAGE DR STE 3B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-234-0100",
            "fax_number": "662-483-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE COMPANION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-801-2040"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Companion Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Nicole Pritchard, CPSS
• Barbara Proctor, MD
• Professional Therapy Services Inc
• Progressive Rehab, Inc.
• Progressive Specialty Centers LLC
• Courtney Wilburn Pruitt, NP
• Melanie Marie Pryor, M.S.
• Adreanne Pugh, LPC, NCC, CCMHC
• Sara Brooke Pumphrey
• Courtney Martin Purvis, DPT, ATC

• In Home Supportive Care Agency in Oxford, MS
• Providers in Oxford, 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 30, 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.