SUPER SHOTS MOBILE FLU SHOT CLINIC
NPI 1619243359
In Home Supportive Care in Vicksburg, MS

Q: What is Super Shots Mobile Flu Shot Clinic's NPI number?

The NPI number for Super Shots Mobile Flu Shot Clinic is 1619243359. It was assigned to this organization in the NPPES registry on March 27, 2012.

Q: What is Super Shots Mobile Flu Shot Clinic's specialty?

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

Active since March 27, 2012

109 BELVA DR, VICKSBURG, MS 39180(769) 203-2711 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Super Shots Mobile Flu Shot Clinic NPPES

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

SUPER SHOTS MOBILE FLU SHOT CLINIC (NPI 1619243359) is a healthcare organization registered as an in home supportive care in Vicksburg, Mississippi and active in the NPI registry since March 2012. The organization lists Shenicia Sorrels, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1619243359

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameSUPER SHOTS MOBILE FLU SHOT CLINIC

Location Address109 BELVA DRVicksburg, MS 39180-8928

Mailing Address109 Belva DrVicksburg, MS 39180-8928 · (769) 203-2711

Phone(769) 203-2711

Organization SubpartNo

Authorized OfficialShenicia SorrelsOwner/operator · (769) 203-2711

Enumeration DateMarch 27, 2012

✔ NPI 1619243359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

License✔ Licensed in MS · P320988

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.

109 BELVA DR, Vicksburg, MS 39180

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Other Providers at the Same Location NPPES

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

SENIOR LIFE LLC

In Home Supportive Care

109 BELVA DR
VICKSBURG, MS 39180

Warren County (769) 203-1773

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 Super Shots Mobile Flu Shot Clinic's NPI number?

The NPI number for Super Shots Mobile Flu Shot Clinic is 1619243359. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Super Shots Mobile Flu Shot Clinic located?

Super Shots Mobile Flu Shot Clinic is located at 109 Belva Dr, Vicksburg, MS 39180. The listed phone number is (769) 203-2711.

What is Super Shots Mobile Flu Shot Clinic'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 Super Shots Mobile Flu Shot Clinic was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.