NPIMap

Organization Active NPI

Reliance Home & Community Care, LLC

  • In Home Supportive Care Agency
  • Collins, MS
National Provider Identifier
1518675206
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RELIANCE HOME & COMMUNITY CARE, LLC
Practice address
404 N Fir Ave Ste B
Collins, MS 39428-4201
Phone
(601) 765-5041
Fax
(601) 765-3247
NPI assigned
Nov 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Dr. Jessica White, LCSWNPI 1043600059
Title
Owner
Phone
(601) 765-5041

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

404 N Fir Ave Ste B
Collins, MS 39428-4201

Mailing address

PO Box 1781
Collins, MS 39428-1781
Phone (601) 765-5041

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 6017653247 Other

National Provider Directory

National Provider Directory

Locations

404 N Fir Ave
Ste B
Collins, MS 39428
Phone (601) 517-5041

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": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1518675206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1781",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394281781",
            "telephone_number": "601-765-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N FIR AVE STE B",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394284201",
            "telephone_number": "601-765-5041",
            "fax_number": "601-765-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE HOME & COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-765-5041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6017653247",
            "affiliation": "N",
            "endpointDescription": "fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "fax",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "404 N Fir Ave Ste B",
            "city": "Collins",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394284201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Collins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.