First Care Home Heath Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FIRST CARE HOME HEATH AGENCY LLC

Practice address

714 Halbert Heights Rd Ste C
Brookhaven, MS 39601-3656

Phone

(601) 754-5400

NPI assigned

Jul 21, 2026

Organization subpart

No

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

Authorized official

Name

Keiquanae Tatayana Smith

Title

Owner

Phone

(601) 754-5400

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1720909385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "390690962",
            "telephone_number": "601-754-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HALBERT HEIGHTS RD STE C",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013656",
            "telephone_number": "601-754-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE HOME HEATH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEIQUANAE",
        "authorized_official_middle_name": "TATAYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-754-5400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 21, 2026; 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.