Organization Active NPI

Ruby D'S LLC

  • In Home Supportive Care Agency
  • Jackson, MS
National Provider Identifier
1982184651
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RUBY D'S LLC
Doing business as
Life Healthcare Staffing Agency
Practice address
2214 Dogwood LN
Jackson, MS 39212-2353
Phone
(601) 586-9523
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Ms. Ruby Washington, CNA
Title
President
Phone
(601) 720-1382

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MS
In Home Supportive Care Agency 253Z00000X MS Primary

Addresses

Primary practice location

2214 Dogwood LN
Jackson, MS 39212-2353

Mailing address

PO Box 21331
Jackson, MS 39289-2002
Phone (601) 586-9523

Other names 1

  • Life Healthcare Staffing Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1982184651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21331",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392892002",
            "telephone_number": "601-586-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 DOGWOOD LN",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122353",
            "telephone_number": "601-586-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY D'S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-720-1382",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Healthcare Staffing Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2018; 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.