Organization Active NPI

My Brother'S Keeper Homecare Solutions, LLC

  • In Home Supportive Care Agency
  • Southaven, MS
National Provider Identifier
1609213438
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY BROTHER'S KEEPER HOMECARE SOLUTIONS, LLC
Practice address
8869 Centre St Ste B1
Southaven, MS 38671-1725
Phone
(662) 280-5625
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Gerthania Luckey
Title
Executive Director
Phone
(662) 280-5625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8869 Centre St Ste B1
Southaven, MS 38671-1725

Mailing address

PO Box 1908
Southaven, MS 38671-0022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1609213438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8869 CENTRE ST STE B1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711725",
            "telephone_number": "662-280-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY BROTHER'S KEEPER HOMECARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "LUCKEY",
        "authorized_official_first_name": "GERTHANIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-280-5625"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.