State of Mississippi-University of Mississippi Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Doing business as

University of Mississippi Medical Center-Grenada Home Health Agency

Practice address

960 Avent Drive
Grenada, MS 38901

Phone

(662) 227-7000

NPI assigned

Oct 10, 2013

Last updated

Oct 10, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Kevin Cook

Title

Ceo

Phone

(601) 984-4113

Specialties & licenses 1

Addresses

Other names 1

• University of Mississippi Medical Center-Grenada Home Health Agency Doing business as

Part of

State of Ms Univ of Ms Med

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1700213634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-984-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 AVENT DRIVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "38901",
            "telephone_number": "662-227-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-984-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Mississippi Medical Center-Grenada Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Center - Grenada Psych)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Rural Health Clinic)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Center-Grenada)
• State of Mississippi-University of Mississippi Medical Center (UMMC Grenda Specialty Peds)
• State of Mississippi-University of Mississippi Medical Center (Ummc Grenada DME)
• State of Mississippi-University of Mississippi Medical Center (Ummc Grenada Ekg/Eeg Services)
• State of Mississippi-University of Mississippi Medical Center (UMMC Grenada Ambulance Service)
• State of Mississippi-University of Mississippi Medical Center (Ummc-Grenada Crna Services)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Women's Services)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Center-Grenada Skilled Nursing)

• Home Health Agency in Grenada, MS
• Providers in Grenada, MS by specialty
• Home Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.