Organization Active NPI

Port City Personal Care Services LLC

  • Homemaker
  • Greenville, MS
National Provider Identifier
1902264799
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
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

Updated by the provider on Feb 8, 2016

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)CodeLicenseStatePrimary
HomemakerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.