MID-SOUTH PERSONAL CARE AGENCY, LLC
NPI 1508482001
Technician - Attendant Care Provider in Marion, AR

Active since June 19, 2020
83 HARVARD RD, MARION, AR 72364(901) 462-1619 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid-south Personal Care Agency, Llc NPPES

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

MID-SOUTH PERSONAL CARE AGENCY, LLC (NPI 1508482001) is a healthcare organization registered as an attendant care provider in Marion, Arkansas and active in the NPI registry since June 2020. The organization lists Jerica Smith, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1508482001
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameMID-SOUTH PERSONAL CARE AGENCY, LLC
Location Address83 HARVARD RDMarion, AR 72364-9738
Mailing Address1100 S Brinkley Loop Apt 3Marion, AR 72364-5030
Organization SubpartNo
Authorized OfficialJerica SmithOwner/ceo · (901) 462-1619
Enumeration DateJune 19, 2020
NPPES CertifiedJune 19, 2020
NPI 1508482001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
83 HARVARD RD, Marion, AR 72364

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Mid-South Personal Care Agency, LLC's NPI number?

The NPI number for Mid-South Personal Care Agency, LLC is 1508482001. It was assigned to this organization in the NPPES registry on June 19, 2020.

Where is Mid-South Personal Care Agency, LLC located?

Mid-South Personal Care Agency, LLC is located at 83 Harvard Rd, Marion, AR 72364. The listed phone number is (901) 462-1619.

What is Mid-South Personal Care Agency, LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Mid-South Personal Care Agency, LLC was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.