1. Home
  2. Directory
  3. Mississippi
  4. Vicksburg
  5. Home Health
  6. NPI Profile

MISSISSIPPI HOMECARE, LLC
NPI 1497867857
Home Health in Vicksburg, MS

Active since August 31, 2006
2080 S FRONTAGE RD STE 107, VICKSBURG, MS 39180(601) 629-0015(601) 629-0046 Get Directions Write a Review

NPPES record last updated: March 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mississippi Homecare, Llc NPPES

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

MISSISSIPPI HOMECARE, LLC (NPI 1497867857) is a healthcare organization registered as a home health in Vicksburg, Mississippi and active in the NPI registry since August 2006. The organization lists Donald D. Stelly, President, as its authorized official.

NPPES Registry Identity

NPI1497867857
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameMISSISSIPPI HOMECARE, LLC
Location Address2080 S FRONTAGE RD STE 107Vicksburg, MS 39180-5882
Mailing AddressPo Box 51266Lafayette, LA 70505-1266 · (337) 233-1307 · Fax (337) 233-5764
Phone(601) 629-0015
Fax(601) 629-0046
Organization SubpartNo
Authorized OfficialDonald D. StellyPresident · (337) 233-1307
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 9, 2018
✔ NPI 1497867857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MS · 3581
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.
2080 S FRONTAGE RD STE 107, Vicksburg, MS 39180
Open in Google Maps ↗

Other Identifiers 2

Medicaid0770602MS
Other70757MS · Blue Cross Blue Shield Of

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEVINNA BAHADUR DNP, MSN, AGACN-BC
Nurse Practitioner
2080 S FRONTAGE RD STE 107
VICKSBURG, MS 39180
Warren County (601) 564-7070
SARAH LEANNE YORK APRN
Nurse Practitioner
2080 S FRONTAGE RD STE 107
VICKSBURG, MS 39180
Warren County (601) 654-7070
TONYA CRAWFORD FNP-C
Nurse Practitioner (Family)
2080 S FRONTAGE RD STE 107
VICKSBURG, MS 39180
Warren County (601) 654-7070
AMANDA DIANNE DOWELL
Nurse Practitioner (Family)
2080 S FRONTAGE RD STE 107
VICKSBURG, MS 39180
Warren County (601) 654-7070
AMBER NICOLE OVERSTREET AGACNP
Nurse Practitioner (Acute Care)
2080 S FRONTAGE RD STE 107
VICKSBURG, MS 39180
Warren County (601) 654-7070

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, LLC's NPI number?

The NPI number for Mississippi Homecare, LLC is 1497867857. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Mississippi Homecare, LLC located?

Mississippi Homecare, LLC is located at 2080 S Frontage Rd Ste 107, Vicksburg, MS 39180. The listed phone number is (601) 629-0015.

What is Mississippi Homecare, LLC's specialty?

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

What insurance does Mississippi Homecare, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Mississippi Homecare, 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, LLC was last updated on March 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.