NPIMap

Organization Active NPI

Mid-Delta Home Health, Inc.

  • Home Health Agency
  • Belzoni, MS
National Provider Identifier
1649295684
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7488 Issued in MS
Legal business name
MID-DELTA HOME HEALTH, INC.
Practice address
405 N Hayden St
Belzoni, MS 39038-3639
Phone
(662) 247-1254
Fax
(662) 247-4924
NPI assigned
Jul 12, 2006
Last updated
Aug 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Mrs. Clara T. Reed, RN
Title
Ceo
Phone
(662) 247-1254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7488 MS Primary

Addresses

Primary practice location

405 N Hayden St
Belzoni, MS 39038-3639

Mailing address

405 N Hayden St
Belzoni, MS 39038-3639
Phone (662) 247-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100615000636 MS Part A Provider - Home Health Agency 9638209844 Practice locations: Cleveland, MS; Yazoo City, MS; Vicksburg, MS; Lexington, MS; Greenwood, MS; Greenville, MS; Canton, MS; Brookhaven, MS…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649295684. Details of each certification follow.

Home health agency certification: CCN 257115

Legal name
MID-DELTA HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 15, 1978
Last certification
Jun 11, 2015
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 15, 1978 in MS
Enrollment address
405 N Hayden St
Belzoni, MS 39038-3639

Care Compare: Home health agency

Medicare Care Compare
Listed as
Arden Home Health of West Ms, LLCCCN 257115 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Mar 15, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

405 N Hayden St
Belzoni, MS 39038
Phone (662) 247-1254

711 Brookway Blvd
#B
Brookhaven, MS 39601
Phone (601) 691-9220

1150 E Peace St
Canton, MS 39046
Phone (601) 855-2400

1150 E Peace St
Ste 2
Canton, MS 39046
Phone (601) 855-2400

301 N Martin Luther King Dr
Cleveland, MS 38732
Phone (662) 843-3550

522 Grand Ave
Yazoo City, MS 39194
Phone (662) 746-9068

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Clara Taylor Reed Individual 5% Or Greater Direct Ownership Interest Apr 1, 2010
Pamela Reed Redd Individual W-2 Managing EmployeeCeo Apr 1, 2010 50%
Henry Reed Individual W-2 Managing Employee Apr 1, 2010

Practitioners & affiliated clinicians

Affiliated clinicians 79

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1649295684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N HAYDEN ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383639",
            "telephone_number": "662-247-1254",
            "fax_number": "662-247-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N HAYDEN ST",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383639",
            "telephone_number": "662-247-1254",
            "fax_number": "662-247-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-DELTA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-247-1254",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "7488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belzoni, MS

Sources for this page

Verify at the official NPI Registry.