KMS Homecare Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R874602 Issued in MS

Legal business name

KMS HOMECARE SERVICES

Practice address

103 Court St
Suite 116
Cleveland, MS 38732

Phone

(662) 721-8267

Fax

(662) 846-8937

NPI assigned

Jul 17, 2012

Last updated

Jul 17, 2012By 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

Mrs. Cassandra Latasha Shepard, RNNPI 1144748898

Title

Ceo

Phone

(662) 721-8036

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Latasha Shepard, FNP

  • Nurse Practitioner
  • Cleveland, MS
  • NPI 1144748898
  Authorized official Same address or phone

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1689929689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1454",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-721-8267",
            "fax_number": "662-846-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COURT ST",
            "address_2": "SUITE 116",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "38732",
            "telephone_number": "662-721-8267",
            "fax_number": "662-846-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "LATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-721-8036",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": "R874602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeyad Kassem
• Kimberly Faith Kennedy, PHARMD
• Bethany Kent
• Lorry King, PT
• Sandee Wall King, RPH
• Kroger Limited Partnership I (Kroger Pharmacy)
• Jennifer K Krutz, ST
• Jenny Coleman Kurts, FNP-BC
• L & a Services
• Phillip Newton Lambert, F.N.P.

• In Home Supportive Care Agency in Cleveland, MS
• Providers in Cleveland, 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 Jul 17, 2012; 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.