Active NPI
Senthan Harris
- In Home Supportive Care Agency
- Hollandale, MS
National Provider Identifier
1972808152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 108 E South St
Hollandale, MS 38748-3834 - Phone
- (662) 827-2211
- Fax
- (662) 827-5766
- NPI assigned
- Jan 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | MS | Primary |
Addresses
Primary practice location
108 E South St
Hollandale, MS 38748-3834
Mailing address
108 E South St
P.O. Box 351
Hollandale, MS 38748-3834
Phone (662) 827-2211
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073908679 | Medicaid | MS | |
| 1295955185 | Medicaid | MS | |
| 1821398389 | Medicaid | MS | |
| 1972808152 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RN VA Daycare | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Day Care Clinic/Center
- Hollandale, MS
- NPI 1912521485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1972808152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E SOUTH ST",
"address_2": "P.O. BOX 351",
"city": "HOLLANDALE",
"state": "MS",
"postal_code": "387483834",
"telephone_number": "662-827-2211",
"fax_number": "662-827-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E SOUTH ST",
"city": "HOLLANDALE",
"state": "MS",
"postal_code": "387483834",
"telephone_number": "662-827-2211",
"fax_number": "662-827-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "SENTHAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-19",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073908679",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295955185",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821398389",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972808152",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollandale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.