Home Community Base Waiver - Ess in Ellisville - Attendant Care Provider
Home Community Base Waiver - Ess - NPI 1992865653
Home Community Base Waiver - Ess is a Attendant Care Provider in Ellisville, Mississippi. Home Community Base Waiver - Ess practices all healthcare services and medical treatments related to Attendant Care Provider. The NPI Number for Home Community Base Waiver - Ess is 1992865653. The last update date is 2020-08-22.
Home Community Base Waiver - Ess's current location address is 1101 Highway 11 S, Ellisville, Mississippi. You can contact this provider via phone number 6014779384 and fax number 6014775700. The mailing address for Home Community Base Waiver - Ess is 1101 Highway 11 S, Ellisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Home Community Base Waiver - Ess |
|---|---|
| Address | 1101 Highway 11 S, Ellisville, Mississippi |
| Phone Number | 6014779384 |
| Fax Number | 6014775700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Lassiter Suzie |
| Telephone Number | 6014779384 |
NPI Number Detail
| NPI Number | 1992865653 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1101 Highway 11 S |
|---|---|
| City | Ellisville |
| State | Mississippi (MS) |
| Post Code | 394374443 |
| Phone Number | 6014779384 |
| Fax Number | 6014775700 |
Provider's Primary Taxonomy Detail
| Speciality | Attendant Care Provider |
|---|---|
| Taxonomy | 3747A0650X |
| Licence No | ESS-BMR |
|
Definition: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770052 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Home Community Base Waiver - Ess by the Centers for Medicare & Medicaid Services (CMS)?
The Home Community Base Waiver - Ess has been assigned the NPI (National Provider Identifier) 1992865653. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Home Community Base Waiver - Ess's physical address?
The Home Community Base Waiver - Ess is physically located at 1101 Highway 11 S, in the city of Ellisville, MS, with the postal code 394374443.
What is Home Community Base Waiver - Ess's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Home Community Base Waiver - Ess is Attendant Care Provider, and the taxonomy code that categorizes this field of expertise is 3747A0650X.
When was the Home Community Base Waiver - Ess's 1992865653 issued?
The Home Community Base Waiver - Ess's 1992865653 was issued on 2006-12-11.
As of what date was the information regarding Home Community Base Waiver - Ess, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Home Community Base Waiver - Ess, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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