Personel Elder Care

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

PERSONEL ELDER CARE

Practice address

2353 Highway 1 S
2353 South Ridge Center
Greenville, MS 38701-8337

Phone

(662) 334-6335

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By 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

Gwen Herman

Title

Owner

Phone

(662) 334-6335

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1790088334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 SOUTH RIDGE CENTER",
            "address_2": "HWY1 SOUTH",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 HIGHWAY 1 S",
            "address_2": "2353 SOUTH RIDGE CENTER",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018337",
            "telephone_number": "662-334-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONEL ELDER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-334-6335"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770570",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Greenville, MS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.