Mid-Delta Home Health, Inc.
Organization Active NPI Home Health Agency · Belzoni, MS
NPI 1649295684 · NPPES record last updated Aug 26, 2011
Key facts
- NPI
- 1649295684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 7488 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Clara T. Reed, RN
- Title
- Ceo
- Phone
- (662) 247-1254
Affiliated clinicians 79
-
Tanya Savage Anderson, M.D.
-
Devinna Bahadur, DNP, MSN, AGACN-BC
-
Andrew John Bartlett, M.D.
-
Karen Boone, NP-C
-
Matthew Kevin Bounds, FNP-C
-
Blaine Cooper Britt, M.D.
-
Elizabeth Whitaker Brown, MSN, RN
-
Clare Nelson Burnett, FNP
-
Walter M Burnett, M.D.
-
Bryan S Calcote, M.D.
-
Camry Danielle Campbell, FNP-C
-
James Kevin Chandler, M.D.
-
Susan A Chiarito, MD
-
Steven Glenn Clark, M.D
-
Melanie Pitts Coker, CFNP
-
William Wade Dowell, M.D.
-
John Blake Endris, FNP-C
-
Timothy Duncan Estes, M.D.
-
Jonathan Grey Flowers, D.O.
-
Todd L Fulcher, MD
-
Bryan A. Gaspard, MD
-
Karla Adams Gerald, FNP
Medicare Care Compare: Home health agency
- Listed as
- Arden Home Health of West Ms, LLC
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Mar 15, 1978
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
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
- Corporation · Proprietary
- Incorporated
- Mar 15, 1978 in MS
- Enrollment address
- 405 N Hayden St
Belzoni, MS 39038-3639
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Clara Taylor Reed |
5% Or Greater Direct Ownership Interest | Apr 1, 2010 | |
| Pamela Reed Redd |
W-2 Managing Employee |
Apr 1, 2010 | 50% |
| Henry Reed |
W-2 Managing Employee | Apr 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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… |
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
Ste 2
Canton, MS 39046
Phone (601) 855-2400
301 N Martin Luther King Dr
Cleveland, MS 38732
Phone (662) 843-3550
1634 Highway 1 S
Greenville, MS 38701
Phone (662) 335-1065
1907 Highway 82 W
Greenwood, MS 38930
Phone (662) 453-2256
450 Towne Center Blvd
Ridgeland, MS 39157
Phone (601) 898-1053
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7488 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770387 | Medicaid | MS | |
| 70543 | Medicaid | MS | |
| 70619 | Other | MS | BLUE CROSS |
| 770448 | Medicaid | MS | |
| 121587 | Medicaid | MN |
Other providers in Belzoni, MS
- Long'S Drug Store
- Elizabeth Nichols Lott
- Mid-Delta Adult Day Care LLC
- Mid-Delta Durable Medical Equipment
- Mid-Delta Health Systems Inc
- Mid-Delta Hospice Inc
- Mid-Delta Palliative Care LLC
- Mississippi Foot Specialists PC
- Mississippi State Department of Health
- Amber Mixon
All providers in Belzoni, MS · Home Health Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.