Organization Active NPI

Home Care Solutions, Inc.

  • Home Health Agency
  • Southaven, MS
National Provider Identifier
1609904283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
L3(27)4M2-017-6480 Issued in TN
Legal business name
HOME CARE SOLUTIONS, INC.
Practice address
1931 Veterans Dr
Suite 201
Southaven, MS 38671-2009
Phone
(662) 393-0020
Fax
(662) 393-0180
NPI assigned
Mar 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Judy Rosenbloom, BSHCA-MBA
Title
Owner
Phone
(662) 393-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X L3(27)4M2-017-6480 TN Primary

Addresses

Primary practice location

1931 Veterans Dr
Suite 201
Southaven, MS 38671-2009

Mailing address

1931 Veterans Dr
Suite 201
Southaven, MS 38671-2009
Phone (662) 393-0020

Other identifiers 4

IdentifierTypeStateIssuer
00770472MedicaidMS
00747OtherTNDMRS AGENCY NUMBER
00770323MedicaidMS
0445780MedicaidTN

National Provider Directory

National Provider Directory

Locations

1931 Veterans Dr
Ste 201
Southaven, MS 38671
Phone (662) 393-0020

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609904283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 VETERANS DR",
            "address_2": "SUITE 201",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712009",
            "telephone_number": "662-393-0020",
            "fax_number": "662-393-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 VETERANS DR",
            "address_2": "SUITE 201",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386712009",
            "telephone_number": "662-393-0020",
            "fax_number": "662-393-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBLOOM",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-393-0020",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSHCA-MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "L3(27)4M2-017-6480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770472",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMRS AGENCY NUMBER",
            "identifier": "00747",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770323",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445780",
            "state": "TN"
        }
    ],
    "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 Aug 22, 2020; 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.