Organization Active NPI

Community Healthcare Connections Personal Care Services

  • In Home Supportive Care Agency
  • Hattiesburg, MS
National Provider Identifier
1740530559
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY HEALTHCARE CONNECTIONS PERSONAL CARE SERVICES
Practice address
5128 Old Highway 11 Ste 10
Hattiesburg, MS 39402-6234
Phone
(601) 599-0006
Fax
(601) 599-0007
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Mrs. Shermanda Brumfield
Title
Cfo
Phone
(601) 599-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

5128 Old Highway 11 Ste 10
Hattiesburg, MS 39402-6234

Mailing address

5128 Old Highway 11 Ste 10
Hattiesburg, MS 39402-6234
Phone (601) 599-0006

Other identifiers 1

IdentifierTypeStateIssuer
04734811MedicaidMS

National Provider Directory

National Provider Directory

Locations

5128 Old Highway 11
Ste 10
Hattiesburg, MS 39402
Phone (601) 599-0006

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1740530559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-599-0006",
            "fax_number": "601-599-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 OLD HIGHWAY 11 STE 10",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026234",
            "telephone_number": "601-599-0006",
            "fax_number": "601-599-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE CONNECTIONS PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BRUMFIELD",
        "authorized_official_first_name": "SHERMANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-599-0006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04734811",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.