Mission Home Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1091006 Issued in MS

Legal business name

MISSION HOME CARE SERVICES

Practice address

14129 Ridgeway Dr
Gulfport, MS 39503-4810

Phone

(228) 213-9112

NPI assigned

Aug 13, 2016

Organization subpart

No

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

Authorized official

Name

Alicia M Williams

Title

LPN,Owner

Phone

(228) 213-9112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471046400000",
    "number": "1528512068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14129 RIDGEWAY DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034810",
            "telephone_number": "228-213-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14129 RIDGEWAY DR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034810",
            "telephone_number": "228-213-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-13",
        "last_updated": "2016-08-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LPN,OWNER",
        "authorized_official_telephone_number": "228-213-9112"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": "1091006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Gulfport, MS
• Providers in Gulfport, 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 13, 2016; 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.