Organization Active NPI

Delomatt Home Care Services

  • In Home Supportive Care Agency
  • Clinton, MS
National Provider Identifier
1699039982
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Jul 1, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.