Organization Active NPI

Secure Home Health Care LLC

  • In Home Supportive Care Agency
  • Gulfport, MS
National Provider Identifier
1760016372
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SECURE HOME HEALTH CARE LLC
Practice address
604 Liz Cir
Gulfport, MS 39503-3712
Phone
(228) 233-8927
NPI assigned
Feb 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Mrs. Christina Renee Simmons
Title
Owner
Phone
(228) 233-8927

Specialties & licenses 1

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

Addresses

Primary practice location

604 Liz Cir
Gulfport, MS 39503-3712

Mailing address

604 Liz Cir
Gulfport, MS 39503-3712
Phone (228) 233-8927

Other names 1

  • INFINITY HOME CARE LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina@securehomehealthcare.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1760016372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LIZ CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033712",
            "telephone_number": "228-233-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LIZ CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033712",
            "telephone_number": "228-233-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-233-8927",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina@securehomehealthcare.com",
            "affiliation": "N",
            "endpointDescription": "buisness email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "604 Liz Cir",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395033712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "INFINITY HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INFINITY HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.