Organization · NPI-2
Home Care Aide Services
In Home Supportive Care · Columbus, MS
NPI number1992462444
StatusActive
Last updated in NPPESNov 19, 2021
Details
- NPI
- 1992462444
- Entity type
- Organization (NPI-2)
- Legal business name
- Home Care Aide Services
- Organization subpart
- No
- Enumeration date
- Nov 19, 2021
- Certification date
- Oct 25, 2021
- Last updated
- Nov 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 163W00000X | Registered Nurse | – | – | |
| 174200000X | Meals | – | – | |
| 177F00000X | Lodging | – | – | |
| 251B00000X | Case Management | – | – | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 251X00000X | Supports Brokerage | – | – | |
| 261QC1800X | Clinic/Center, Corporate Health | – | – | |
| 261QE0002X | Clinic/Center, Emergency Care | – | – | |
| 261QV0200X | Clinic/Center, VA | – | – | |
| 344600000X | Taxi | – | – | |
| 347B00000X | Bus | – | – |
Other names
- Home Care Aide Services (Doing Business As)
Practice location
1411 College StColumbus, MS 39701-5904
Phone 916-698-0643
Mailing address
1411 College StColumbus, MS 39701-5904
Phone 916-698-0643
Authorized official
Robert Eugene Woods
Ceo
9166980643
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