NPIMap

Organization Active NPI

At Home Care, Inc.

  • Home Health Agency
  • Port Gibson, MS
National Provider Identifier
1871785527
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
00770852 Issued in MS
Legal business name
AT HOME CARE, INC.
Practice address
1004 College St
Port Gibson, MS 39150-2434
Phone
(601) 437-3524
Fax
(601) 437-3570
NPI assigned
Aug 16, 2007
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Mrs. Jeanette Felton, RN, BSN
Title
Director
Phone
(601) 437-3524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 00770852 MS Primary

Addresses

Primary practice location

1004 College St
Port Gibson, MS 39150-2434

Mailing address

1004 College St
Port Gibson, MS 39150-2434
Phone (601) 437-3524

Other identifiers 2

IdentifierTypeStateIssuer
00770582MedicaidMS
00770850MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
At Home Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1871785527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 COLLEGE ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502434",
            "telephone_number": "601-437-3524",
            "fax_number": "601-437-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 COLLEGE ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502434",
            "telephone_number": "601-437-3524",
            "fax_number": "601-437-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "FELTON",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-437-3524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": "00770852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770582",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770850",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Gibson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; 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.