MISSISSIPPI HOMECARE / JACKSON
NPI 1053423509
Home Health in Jackson, MS

Q: What is Mississippi Homecare Of Jackson, LLC's NPI number?

The NPI number for Mississippi Homecare Of Jackson, LLC is 1053423509. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Mississippi Homecare / Jackson.

Q: What is Mississippi Homecare Of Jackson, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since August 31, 2006CLIA 25D0718912 · Waiver

817 EAST RIVER PLACE, SUITE 201, JACKSON, MS 39202(601) 352-5063(601) 352-7098 Get Directions Write a Review

NPPES record last updated: October 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mississippi Homecare / Jackson NPPES

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

MISSISSIPPI HOMECARE / JACKSON (NPI 1053423509) is a healthcare organization registered as a home health in Jackson, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peter C. November, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1053423509

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameMISSISSIPPI HOMECARE OF JACKSON, LLC

Location Address817 EAST RIVER PLACE, SUITE 201Jackson, MS 39202

Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 233-5764

Phone(601) 352-5063

Fax(601) 352-7098

Organization SubpartNo

Authorized OfficialPeter C. NovemberExecutive Vice President · (337) 233-1307

Enumeration DateAugust 31, 2006

Last NPPES UpdateOctober 23, 2009

✔ NPI 1053423509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MS · 1294

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

817 EAST RIVER PLACE, Jackson, MS 39202

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Other Names 1

Doing Business AsMississippi Homecare / Jackson

Other Identifiers 3

Other70265MS · Blue Cross Blue Shield Of

Medicare OSCAR/certification257082MS

Medicaid00770125MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0718912

Mississippi Homecare Of Jackson II LLC Dba Ms Home Care Of Jackson · Jackson, MS

Active · expires Aug 31, 2026

CLIA Number25D0718912

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJennifer Keith

Laboratory Phone(601) 352-5063

Laboratory LocationMississippi Homecare Of Jackson II LLC Dba Ms Home Care Of Jackson1200 N State St Ste 140, Jackson, MS 39202

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Mississippi Homecare Of Jackson, LLC's NPI number?

The NPI number for Mississippi Homecare Of Jackson, LLC is 1053423509. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Mississippi Homecare / Jackson.

Where is Mississippi Homecare Of Jackson, LLC located?

Mississippi Homecare Of Jackson, LLC is located at 817 East River Place Suite 201, Jackson, MS 39202. The listed phone number is (601) 352-5063.

What is Mississippi Homecare Of Jackson, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Mississippi Homecare Of Jackson, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0718912) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mississippi Homecare Of Jackson, LLC accept?

Health plans from UnitedHealthcare list Mississippi Homecare Of Jackson, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mississippi Homecare Of Jackson, LLC was last updated on October 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.