Organization Active NPI

Lisa'S Gifted Home Care Services LLC

  • Homemaker
  • Jackson, MS
National Provider Identifier
1962039990
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
LISA'S GIFTED HOME CARE SERVICES LLC
Practice address
405 Briarwood Dr Ste 103H
Jackson, MS 39206-3029
Phone
(601) 940-5984
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Lisa L Smoots-LevyNPI 1881231132
Title
Owner
Phone
(601) 940-5984

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
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

405 Briarwood Dr Ste 103H
Jackson, MS 39206-3029

Mailing address

405 Briarwood Dr Ste 103H
Jackson, MS 39206-3029
Phone (601) 940-5984

Other names 1

  • Lisa's Gifted Home Care Services LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

405 Briarwood Dr
Ste 103H
Jackson, MS 39206
Phone (601) 454-0958

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1962039990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 103H",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063029",
            "telephone_number": "601-940-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BRIARWOOD DR STE 103H",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063029",
            "telephone_number": "601-940-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA'S GIFTED HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "SMOOTS-LEVY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-940-5984"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisa's Gifted Home Care Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.