Organization Active NPI

Mississippi Medical Relief Care, LLC

  • Home Health Registered Nurse
  • Ridgeland, MS
National Provider Identifier
1871106773
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
MISSISSIPPI MEDICAL RELIEF CARE, LLC
Practice address
199 Charmant PL Ste 3B
Ridgeland, MS 39157-4358
Phone
(601) 790-9175
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Mychell Thomas, LPNNPI 1124631023
Title
Owner
Phone
(601) 790-9175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Home Health Registered Nurse 163WH0200X NU Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X NU
Licensed Practical Nurse 164W00000X NU

Addresses

Primary practice location

199 Charmant PL Ste 3B
Ridgeland, MS 39157-4358

Mailing address

199 Charmant PL Ste 3B
Ridgeland, MS 39157-4358
Phone (601) 790-9175

National Provider Directory

National Provider Directory

Locations

199 Charmant Pl
Ste 3B
Ridgeland, MS 39157
Phone (601) 316-4840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1871106773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CHARMANT PL STE 3B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574358",
            "telephone_number": "601-790-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 CHARMANT PL STE 3B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574358",
            "telephone_number": "601-790-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI MEDICAL RELIEF CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MYCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-790-9175",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.