Southern Healthcare Agency, Inc. in Ridgeland - Respite Care, Intellectual And/or Developmental Disabilities
Southern Healthcare Agency, Inc. - NPI 1336338763
Southern Healthcare Agency, Inc. is a Respite Care, Intellectual And/or Developmental Disabilities in Ridgeland, Mississippi. Southern Healthcare Agency, Inc. practices all healthcare services and medical treatments related to Respite Care, Intellectual And/or Developmental Disabilities. The NPI Number for Southern Healthcare Agency, Inc. is 1336338763. The last update date is 2020-07-15.
Southern Healthcare Agency, Inc.'s current location address is 301 New Pointe, Ridgeland, Mississippi. You can contact this provider via phone number 6019330037 and fax number 6019328468. The mailing address for Southern Healthcare Agency, Inc. is 301 New Pointe, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southern Healthcare Agency, Inc. |
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Address | 301 New Pointe, Ridgeland, Mississippi |
Phone Number | 6019330037 |
Fax Number | 6019328468 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Mcmillan D. Jackie |
Telephone Number | 6019330037 |
NPI Number Detail
NPI Number | 1336338763 |
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Provider Enumeration Date | 2007-10-22 |
Last Updated Date | 2020-07-15 |
Provider Mailing Address Detail
Address | 301 New Pointe |
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City | Ridgeland |
State | Mississippi (MS) |
Post Code | 391573904 |
Phone Number | 6019330037 |
Fax Number | 6019328468 |
Provider's Primary Taxonomy Detail
Speciality | Respite Care, Intellectual And/or Developmental Disabilities |
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Taxonomy | 385Hr2060X |
Definition: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
770284 | MS | -- | |
770283 | MS | -- | |
118933 | MS | -- |
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What is the unique 10-digit identifier code assigned to Southern Healthcare Agency, Inc. by the Centers for Medicare & Medicaid Services?
The Southern Healthcare Agency, Inc. has been issued the NPI (National Provider Identifier) 1336338763 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Southern Healthcare Agency, Inc. located?
The Southern Healthcare Agency, Inc. is located at 301 New Pointe, Ridgeland, MS 391573904.
What is the Southern Healthcare Agency, Inc.'s area of specialization and corresponding taxonomy classification?
The Southern Healthcare Agency, Inc.'s specialty field is Respite Care, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 385Hr2060X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336338763 to Southern Healthcare Agency, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1336338763 to Southern Healthcare Agency, Inc. on 2007-10-22.
As of what date were the Southern Healthcare Agency, Inc.'s details last updated?
The information pertaining to the Southern Healthcare Agency, Inc., including its address, specialty, and other details, was most recently updated on 2020-07-15.