Ms State Department of Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7881 Issued in MS

Legal business name

MS STATE DEPARTMENT OF HEALTH

Doing business as

Metro Home Health

Practice address

350 West Woodrow Wilson Avenue
Hinds County Health Department Suite 411-a
Jackson, MS 39213

Phone

(601) 987-4995

Fax

(601) 987-8633

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie Bowman, RN

Title

Director of Home Health

Phone

(601) 576-7853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Metro Home Health Doing business as

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1730164674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1700",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392151700",
            "telephone_number": "601-987-4995",
            "fax_number": "601-987-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WEST WOODROW WILSON AVENUE",
            "address_2": "HINDS COUNTY HEALTH DEPARTMENT SUITE 411-A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-987-4995",
            "fax_number": "601-987-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS STATE DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "DIRECTOR OF HOME HEALTH",
        "authorized_official_telephone_number": "601-576-7853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "7881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070500",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ms School for the Deaf and Blind
• Ms State Department of Health
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• Ms State Dept of Health
• Ms State Dept of Health
• Ms State Dept of Health Pharmacy

• Home Health Agency in Jackson, MS
• Providers in Jackson, 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 Jul 14, 2008; 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.