Organization Active NPI

Wise Choice Home Care LLC

  • In Home Supportive Care Agency
  • East Olive Branch, MS
National Provider Identifier
1922633759
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WISE CHOICE HOME CARE LLC
Practice address
9135 Highway 178
Ste a
East Olive Branch, MS 38654-3865
Phone
(322) 890-4310
NPI assigned
Mar 12, 2020
Last updated
Apr 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Kim Yancey
Title
Owner
Phone
(662) 890-4310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9135 Highway 178
Ste a
East Olive Branch, MS 38654-3865

Mailing address

4383 Robinson Loop E
Olive Branch, MS 38654-6787
Phone (901) 303-4695

National Provider Directory

National Provider Directory

Locations

9135 Highway 178
Ste A
Olive Branch, MS 38654
Phone (322) 890-4310

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1922633759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 ROBINSON LOOP E",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546787",
            "telephone_number": "901-303-4695",
            "fax_number": "662-890-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 HIGHWAY 178",
            "address_2": "STE A",
            "city": "EAST OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543865",
            "telephone_number": "322-890-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE CHOICE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-890-4310"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.