MOSSY OAK PERSONAL CARE HOME LLC
NPI 1053287698
In Home Supportive Care in Jesup, GA

Active since October 13, 2025
1150 RIVER RD, JESUP, GA 31546(912) 588-0065 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mossy Oak Personal Care Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSSY OAK PERSONAL CARE HOME LLC (NPI 1053287698) is a healthcare organization registered as an in home supportive care in Jesup, Georgia and active in the NPI registry since October 2025. The organization lists Katie Hires, Owner, as its authorized official.

NPPES Registry Identity

NPI1053287698
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameMOSSY OAK PERSONAL CARE HOME LLC
Location Address1150 RIVER RDJesup, GA 31546-1303
Mailing Address1150 River RdJesup, GA 31546-1303 · (912) 588-0065
Organization SubpartNo
Authorized OfficialKatie HiresOwner · (912) 294-2837
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 12, 2025
NPI 1053287698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
1150 RIVER RD, Jesup, GA 31546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mossy Oak Personal Care Home LLC's NPI number?

The NPI number for Mossy Oak Personal Care Home LLC is 1053287698. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Mossy Oak Personal Care Home LLC located?

Mossy Oak Personal Care Home LLC is located at 1150 River Rd, Jesup, GA 31546. The listed phone number is (912) 588-0065.

What is Mossy Oak Personal Care Home LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Mossy Oak Personal Care Home LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.