Organization Active NPI

Humana Health Aid, Inc.

  • In Home Supportive Care Agency
  • Gulfport, MS
National Provider Identifier
1952984874
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HUMANA HEALTH AID, INC.
Practice address
418 Security SQ
Gulfport, MS 39507-1952
Phone
(404) 977-1057
NPI assigned
Apr 29, 2021
Last updated
Apr 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
JP Dejoubner
Title
Owner
Phone
(404) 977-1057

Specialties & licenses 1

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

Addresses

Primary practice location

418 Security SQ
Gulfport, MS 39507-1952

Mailing address

2953 Bienville Blvd Ste 282
Ocean Springs, MS 39564-4305
Phone (404) 977-1057

National Provider Directory

National Provider Directory

Locations

2953 Bienville Blvd
Ocean Springs, MS 39564

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1952984874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 BIENVILLE BLVD STE 282",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644305",
            "telephone_number": "404-977-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071952",
            "telephone_number": "404-977-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANA HEALTH AID, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "DEJOUBNER",
        "authorized_official_first_name": "JP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-977-1057"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.