Active NPI
At Home Hospice Care, Inc.
- Community Based Hospice Care Agency
- Jackson, MS
National Provider Identifier
1982945978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 160
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437353752 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- At Home Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Custodial Care Facility
- Jackson, MS
- NPI 1417398520
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.