Organization Active NPI

Mikey's Memory HCBS LLC

  • Home Health Agency
  • Long Beach, MS
National Provider Identifier
1942175013
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MIKEY'S MEMORY HCBS LLC
Practice address
18308 Commission Rd Ste a
Long Beach, MS 39560-2402
Phone
(228) 255-5755
NPI assigned
Oct 8, 2025
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
William DodsonNPI 1659086486
Title
Founder/Ceo
Phone
(228) 255-5755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

18308 Commission Rd Ste a
Long Beach, MS 39560-2402

Mailing address

18308 Commission Rd Ste a
Long Beach, MS 39560-2402
Phone (228) 255-5755

National Provider Directory

National Provider Directory
Tax ID family
Mikey's Memory HCBS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

18308 Commission Rd
Ste A
Long Beach, MS 39560
Phone (228) 255-5755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1942175013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18308 COMMISSION RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395602402",
            "telephone_number": "228-255-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18308 COMMISSION RD STE A",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395602402",
            "telephone_number": "228-255-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKEY'S MEMORY HCBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "228-255-5755"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.