Southern Caregivers of Starkville, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN CAREGIVERS OF STARKVILLE, LLC

Practice address

328 Hwy 12 West
Starkville, MS 39759

Phone

(662) 324-2405

NPI assigned

Oct 10, 2011

Last updated

Oct 10, 2011By 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

Tawanna Griffin Martin, R.N.

Title

Ceo/Owner

Phone

(662) 324-2405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1710261664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 HWY 12 WEST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 HWY 12 WEST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-324-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CAREGIVERS OF STARKVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TAWANNA",
        "authorized_official_middle_name": "GRIFFIN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "662-324-2405",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Smith
• Klancie Allison Smith, FNP
• Roy Lee Smith Jr., RPH
• William Todd Smith, M.D.
• Soulflower Counseling, LLC
• Southern Family Markets LLC (Southern Family Market)
• Southern Foundation for Homeless Children (Gray's Transportation and Health Care Services)
• Southern Mobile Medical LLC
• Diane Sparks, LPC
• Brooklyn Sparnecht, SLP

• In Home Supportive Care Agency in Starkville, MS
• Providers in Starkville, 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 Oct 10, 2011; 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.