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  7. NPI Record 1457882912

EXCEPTIONAL TOUCH HOME HEALTH, LLC
Complete NPI Record 1457882912
In Home Supportive Care in Byram, MS

NPI Status: Active since March 25, 2017

Contact Information

300 BYRAM DR
APT 31-A
BYRAM, MS
ZIP 39272
Phone: (601) 589-0768

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider First Line Business Practice Location Address
  12. Provider Second Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Enumeration Date
  19. Last Update Date
  20. Authorized Official Last Name
  21. Authorized Official First Name
  22. Authorized Official Middle Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Provider License Number 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Provider License Number 2
  31. Provider License Number State Code 2
  32. Healthcare Provider Primary Taxonomy Switch 2
  33. Healthcare Provider Taxonomy Code 3
  34. Provider License Number 3
  35. Provider License Number State Code 3
  36. Healthcare Provider Primary Taxonomy Switch 3
  37. Healthcare Provider Taxonomy Code 4
  38. Provider License Number 4
  39. Provider License Number State Code 4
  40. Healthcare Provider Primary Taxonomy Switch 4
  41. Healthcare Provider Taxonomy Code 5
  42. Healthcare Provider Primary Taxonomy Switch 5
  43. Healthcare Provider Taxonomy Code 6
  44. Provider License Number 6
  45. Provider License Number State Code 6
  46. Healthcare Provider Primary Taxonomy Switch 6
  47. Is Organization Subpart
  48. Authorized Official Name Prefix Text

Complete NPI Dataset

This page represents the complete record for NPI 1457882912. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1457882912
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: PO BOX 6621
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: JACKSON
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: MS
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Business Mailing Address Postal Code: 392826621
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address Country Code If outside U S : US
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address Telephone Number: 6015890768
The city name in the mailing address of the provider being identified.
Provider First Line Business Practice Location Address: 300 BYRAM DR
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Second Line Business Practice Location Address: APT 31-A
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Practice Location Address City Name: BYRAM
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MS
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 392729259
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 6015890768
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/25/2017
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/25/2017
The date that a record was last updated or changed.
Authorized Official Last Name: JAMES-WEATHERSBY
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: CASSANDRA
The first name of the authorized official.
Authorized Official Middle Name: C
The middle name of the authorized official.
Authorized Official Title or Position: AUTHORIZED REPRESENTATIVE
The title or position of the authorized official.
Authorized Official Telephone Number: 6015890768
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 251E00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 1113905
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: MS
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 347C00000X
Provider License Number 2: 1113905
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: MS
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 385H00000X
Provider License Number 3: 1113905
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 3: MS
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 385HR2060X
Provider License Number 4: 1113905
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider License Number State Code 4: MS
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Healthcare Provider Primary Taxonomy Switch 4: N
The city name in the mailing address of the provider being identified.
Healthcare Provider Taxonomy Code 5: 385HR2065X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 253Z00000X
Provider License Number 6: 1113905
Provider License Number State Code 6: MS
Healthcare Provider Primary Taxonomy Switch 6: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: MS.