Amedeo Home Care Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AMEDEO HOME CARE SERVICES

Practice address

3111 Washington St
Vicksburg, MS 39180-4968

Phone

(601) 218-6380

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By 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

Catina R Wilson

Title

Ceo

Phone

(601) 218-6380

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1619589249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 WASHINGTON ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391804968",
            "telephone_number": "601-218-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 WASHINGTON ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391804968",
            "telephone_number": "601-218-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDEO HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CATINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-218-6380"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Vicksburg, MS
• Providers in Vicksburg, 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 17, 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.