Organization Active NPI

Hope Healthcare Staffing Agen Cy

  • In Home Supportive Care Agency
  • Hazlehurst, MS
National Provider Identifier
1851797641
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R865620 Issued in MS
Legal business name
HOPE HEALTHCARE STAFFING AGEN CY
Practice address
1074 Beall Rd
Hazlehurst, MS 39083-9420
Phone
(601) 260-4190
Fax
(601) 894-1670
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Mrs. Amanda Massa Brasel, RN
Title
RN
Phone
(601) 260-4190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R865620 MS Primary

Addresses

Primary practice location

1074 Beall Rd
Hazlehurst, MS 39083-9420

Mailing address

1074 Beall Rd
Hazlehurst, MS 39083-9420
Phone (601) 260-4190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1851797641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 BEALL RD",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390839420",
            "telephone_number": "601-260-4190",
            "fax_number": "601-894-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 BEALL RD",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390839420",
            "telephone_number": "601-260-4190",
            "fax_number": "601-894-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTHCARE STAFFING AGEN CY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "BRASEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MASSA",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "601-260-4190",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": "R865620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazlehurst, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.