Active NPI
Delomatt Home Care Services
- In Home Supportive Care Agency
- Clinton, MS
National Provider Identifier
1699039982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DELOMATT HOME CARE SERVICES
- Doing business as
- DeloMatt Home Care Agency
- Practice address
- 1563 W Northside Dr
Clinton, MS 39056-3051 - Phone
- (601) 506-8958
- NPI assigned
- Jul 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bonita F. Williams
- Title
- Ceo/Executive Director
- Phone
- (601) 506-8958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
1563 W Northside Dr
Clinton, MS 39056-3051
Mailing address
1563 W Northside Dr
Clinton, MS 39056-3051
Phone (601) 506-8958
Other names 1
- DeloMatt Home Care Agency
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341100800000",
"number": "1699039982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 W NORTHSIDE DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390563051",
"telephone_number": "601-506-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1563 W NORTHSIDE DR",
"city": "CLINTON",
"state": "MS",
"postal_code": "390563051",
"telephone_number": "601-506-8958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELOMATT HOME CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-01",
"last_updated": "2012-07-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "BONITA",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "601-506-8958",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DeloMatt Home Care Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.