Resilience Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RESILIENCE HOME CARE SERVICES LLC

Doing business as

Resilience Home Care Services LLC

Practice address

15 Northtown Dr Ste C
Jackson, MS 39211-3048

Phone

(601) 624-0585

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Kim Johnson

Title

President/Owner

Phone

(601) 624-0585

Specialties & licenses 1

Addresses

Other names 2

• Resilience Home Care Services LLC Doing business as
• Resilience Home Care Services Other name

Locations

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1902360571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DEER HOLW",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476468",
            "telephone_number": "601-624-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NORTHTOWN DR STE C",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113048",
            "telephone_number": "601-624-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "601-624-0585",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Home Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resilience Home Care Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Resilience Home Care Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; 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.