Avis Caring Hands Home Service

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AVIS CARING HANDS HOME SERVICE

Practice address

1419 Cooks Ave
Jackson, MS 39212-4376

Phone

(601) 832-9168

Fax

(601) 982-8177

NPI assigned

Aug 13, 2019

Last updated

Aug 13, 2019By 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

Stephanie Avis Walker, NURSING

Title

Director

Phone

(601) 832-9168

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1780230185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 COOKS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392124376",
            "telephone_number": "601-832-9168",
            "fax_number": "601-982-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 COOKS AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392124376",
            "telephone_number": "601-832-9168",
            "fax_number": "601-982-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVIS CARING HANDS HOME SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "AVIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-832-9168",
        "authorized_official_credential": "NURSING"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "computer",
            "address_1": "1419 Cooks Ave",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392124376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.