South Ms Gulf Coast Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTH MS GULF COAST HOME CARE LLC

Practice address

30043 Pearson Cemetary Rd
Carriere, MS 39426-9207

Phone

(228) 363-9045

NPI assigned

Jun 14, 2021

Last updated

Jul 22, 2021By 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

Tosha BannisterNPI 1154999696

Title

Owner

Phone

(228) 363-9045

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tosha Bannister

  • Personal Care Attendant
  • Carriere, MS
  • NPI 1154999696
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1508434960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30043 PEARSON CEMETARY RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269207",
            "telephone_number": "228-363-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30043 PEARSON CEMETARY RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394269207",
            "telephone_number": "228-363-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MS GULF COAST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "TOSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-363-9045"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbannister@southmsgchc.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30043 Pearson Cemetary Rd",
            "city": "Carriere",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394269207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in Carriere, MS
• Providers in Carriere, 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 Jul 22, 2021; 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.