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 codeDescriptionLicenseStatePrimary
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 St
Columbus, MS 39701-5904

Phone 916-698-0643

Mailing address

1411 College St
Columbus, MS 39701-5904

Phone 916-698-0643

Authorized official

Robert Eugene Woods
Ceo
9166980643

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