Organization Active NPI

Home of the Heart,LLC

  • Homemaker
  • McComb, MS
National Provider Identifier
1962148908
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
HOME OF THE HEART,LLC
Practice address
210 N Front St
McComb, MS 39648-3916
Phone
(769) 217-8760
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Angela Faye Commodore
Title
Owner
Phone
(769) 204-3699

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Homemaker 376J00000X NU Primary
Respite Care 385H00000X NU

Addresses

Primary practice location

210 N Front St
McComb, MS 39648-3916

Mailing address

PO Box 7070
McComb, MS 39649-7070
Phone (769) 204-3699

National Provider Directory

National Provider Directory

Locations

210 N Front St
McComb, MS 39648
Phone (769) 217-8760

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1962148908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7070",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396497070",
            "telephone_number": "769-204-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N FRONT ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483916",
            "telephone_number": "769-217-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF THE HEART,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "COMMODORE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "769-204-3699"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.