Provision Home Care Services

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

PROVISION HOME CARE SERVICES

Practice address

837 Graves Keys Rd
Bassfield, MS 39421-4287

Phone

(601) 517-9707

NPI assigned

Feb 15, 2015

Last updated

Feb 17, 2015By 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

Mr. Daniel Nelson

Title

Owner

Phone

(601) 517-9707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1760873558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 GRAVES KEYS RD",
            "city": "BASSFIELD",
            "state": "MS",
            "postal_code": "394214287",
            "telephone_number": "601-517-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 GRAVES KEYS RD",
            "city": "BASSFIELD",
            "state": "MS",
            "postal_code": "394214287",
            "telephone_number": "601-517-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVISION HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-517-9707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Bassfield, MS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.