HOME COMMUNITY BASE WAIVER - ESS NPI 1992865653
Technician - Attendant Care Provider in Ellisville, MS
About HOME COMMUNITY BASE WAIVER - ESS
Home Community Base Waiver - Ess is a provider established in Ellisville, Mississippi operating as a Technician with a focus in attendant care provider . The NPI number of Home Community Base Waiver - Ess is 1992865653 and was assigned on December 2006. The practitioner's primary taxonomy code is 3747A0650X with license number ESS-BMR (MS). The provider is registered as an organization and their NPI record was last updated 2 years ago. Home Community Base Waiver - Ess operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Suzie Lassiter (Director Of Facility)
| NPI | 1992865653 |
| Provider Name | HOME COMMUNITY BASE WAIVER - ESS |
| Location Address | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 |
| Location Phone | (601) 477-9384 |
| Mailing Address | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 12-11-2006 |
| Last Update Date | 08-22-2020 |
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 3747A0650X |
| Classification | Technician |
| Type | Nursing Service Related Providers |
| Specialization | Attendant Care Provider |
| License No. | ESS-BMR |
| License State | MS |
| Taxonomy Description | 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. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
HOME COMMUNITY BASE WAIVER - ESS
1101 HIGHWAY 11 S
ELLISVILLE, MS
ZIP 39437
Phone: (601) 477-9384
Fax: (601) 477-5700
Mailing Address
HOME COMMUNITY BASE WAIVER - ESS
1101 HIGHWAY 11 S
ELLISVILLE, MS
ZIP 39437
Phone: (601) 477-9384
Fax: (601) 477-5700
Location Map
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 00770052 | MEDICAID (05) | MS |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 9 | 2 | 8 | 6 | 5 | 6 | 5 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 18 | 2 | 16 | 6 | 10 | 6 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 8 + 2 + 1 + 6 + 6 + 1 + 0 + 6 + 1 + 0 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1992865653 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225130040 | PAUL IVAN HATHORN D.M.D. Individual | Dentist | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-5792 |
| 1720181191 | ELLISVILLE STATE SCHOOL Organization | Health Maintenance Organization | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-9384 |
| 1508962101 | MRS. LISA GRAHAM BLESSE FNP Individual | Nurse Practitioner (Family) | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-5795 |
| 1164582821 | ELLISVILLE STATE SCHOOL Organization | Technician | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-9384 |
| 1255364337 | DR. JOSEPH RODNEY MORING M.D. Individual | Emergency Medicine | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-5772 |
| 1700125895 | BREANNA L BONNER FNP Individual | Nurse Practitioner (Family) | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-5771 |
| 1578668901 | ELLISVILLE STATE SCHOOL Organization | Pharmacy (Long Term Care Pharmacy) | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-5785 |
| 1306914700 | HILLSIDE Organization | Nursing Facility/Intermediate Care Facility | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-9384 |
| 1205904604 | PECAN GROVE Organization | Nursing Facility/Intermediate Care Facility | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-9384 |
| 1598833998 | PAUL D. COTTEN Organization | Nursing Facility/Intermediate Care Facility | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-9384 |
| 1013085414 | ELLISVILLE STATE SCHOOL DENTAL Organization | Dentist | 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 (601) 477-9384 |
Frequently Asked Questions
What is HOME COMMUNITY BASE WAIVER - ESS NPI number?
The NPI number assigned to HOME COMMUNITY BASE WAIVER - ESS is 1992865653, registered as an "organization" on December 11, 2006
Where is HOME COMMUNITY BASE WAIVER - ESS located?
The provider is located at 1101 Highway 11 S Ellisville, Ms 39437 and the phone number is (601) 477-9384
What kind of medical provider is HOME COMMUNITY BASE WAIVER - ESS?
This medical organization specializes in Technician with a focus in Attendant Care Provider
What insurance does HOME COMMUNITY BASE WAIVER - ESS accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
How do I update my NPI information?
The NPI record of HOME COMMUNITY BASE WAIVER - ESS was last updated on December 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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