Caring Hands Ppec of Vicksburg

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

CARING HANDS PPEC OF VICKSBURG

Practice address

3419 Wisconsin Ave
Vicksburg, MS 39180-5330

Phone

(601) 629-0505

Fax

(601) 629-0502

NPI assigned

Feb 25, 2016

Last updated

Mar 3, 2023By 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

Barbie Clark, RN

Title

Owner, RN

Phone

(318) 323-1930

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1801256318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2403",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712072403",
            "telephone_number": "318-323-1930",
            "fax_number": "318-323-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 WISCONSIN AVE",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805330",
            "telephone_number": "601-629-0505",
            "fax_number": "601-629-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS PPEC OF VICKSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BARBIE",
        "authorized_official_title_or_position": "OWNER, RN",
        "authorized_official_telephone_number": "318-323-1930",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005574549",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cal-Med LLC
• Leah Jones Calder, PA-C
• Amy Calvert Campbell, CFNP
• Robert Michael Cannon, M.D.
• Carehaven Support Services, LLC
• Chaney Carlucci, LPC
• James Henry Carr, M.D.
• Barbara Carter
• Jasmine Carter
• Sheena Rochelle Caston Bassett, MSW, PCMHT

• Medically Fragile Infants and Children Day Care in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Medically Fragile Infants and Children Day Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.