Active NPI
Port City Personal Care Services LLC
- Homemaker
- Greenville, MS
National Provider Identifier
1902264799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- PORT CITY PERSONAL CARE SERVICES LLC
- Practice address
- 424 Highway 1 S
Greenville, MS 38701-4901 - Phone
- (662) 580-5221
- Fax
- (662) 796-0611
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bettie J Pruitt
- Title
- Owner
- Phone
- (662) 580-5221
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
424 Highway 1 S
Greenville, MS 38701-4901
Mailing address
424 Highway 1 S
Greenville, MS 38701-4901
Phone (662) 580-5221
National Provider Directory
National Provider DirectoryLocations
424 Highway 1 S
Greenville, MS 38701
Phone (662) 580-5221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1902264799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 HIGHWAY 1 S",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387014901",
"telephone_number": "662-580-5221",
"fax_number": "662-796-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 HIGHWAY 1 S",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387014901",
"telephone_number": "662-580-5221",
"fax_number": "662-796-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORT CITY PERSONAL CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "BETTIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-580-5221",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.