Organization Active NPI

At Home Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Jackson, MS
National Provider Identifier
1982945978
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
160 Issued in MS
Legal business name
AT HOME HOSPICE CARE, INC.
Practice address
5015 I 55 N
Ste a
Jackson, MS 39206-4306
Phone
(601) 362-1701
Fax
(601) 362-0405
NPI assigned
Mar 15, 2013
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Mrs. Dorothy Jeanette Felton, RN, BSN
Title
Ceo
Phone
(601) 437-3524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 160 MS Primary

Addresses

Primary practice location

5015 I 55 N
Ste a
Jackson, MS 39206-4306

Mailing address

306 Church St
Port Gibson, MS 39150-2108
Phone (601) 437-3524

Other identifiers 1

IdentifierTypeStateIssuer
1437353752MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
At Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5015 I 55 N
Ste A
Jackson, MS 39206
Phone (601) 362-1701

306 Church St
Port Gibson, MS 39150
Phone (601) 362-3019

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1982945978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CHURCH ST",
            "city": "PORT GIBSON",
            "state": "MS",
            "postal_code": "391502108",
            "telephone_number": "601-437-3524",
            "fax_number": "601-437-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 I 55 N",
            "address_2": "STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064306",
            "telephone_number": "601-362-1701",
            "fax_number": "601-362-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "FELTON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-437-3524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437353752",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 15, 2013; 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.