Southern Girl Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SOUTHERN GIRL HOMECARE LLC

Practice address

3712 Old Mobile Ave Ste L
Pascagoula, MS 39581-3767

Phone

(228) 215-1760

NPI assigned

Feb 7, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Lynette MobleyNPI 1336954361

Title

Ceo

Phone

(228) 215-1760

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jessica Lynette Mobley

  • Personal Care Attendant
  • Pascagoula, MS
  • NPI 1336954361
  NPD Authorized official

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1962217901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 OLD MOBILE AVE STE L",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395813767",
            "telephone_number": "228-215-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 OLD MOBILE AVE STE L",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395813767",
            "telephone_number": "228-215-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN GIRL HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-215-1760",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.