HOME COMMUNITY BASE WAIVER - ESS - NPI 1992865653

Q: What is Home Community Base Waiver - Ess's NPI number?

The NPI number for Home Community Base Waiver - Ess is 1992865653. It was assigned to this organization in the NPPES registry on December 11, 2006.

Q: What is Home Community Base Waiver - Ess's specialty?

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

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About Home Community Base Waiver - Ess NPPES

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

HOME COMMUNITY BASE WAIVER - ESS (NPI 1992865653) is a healthcare organization registered as an attendant care provider in Ellisville, Mississippi and active in the NPI registry since December 2006. The organization lists Suzie Lassiter, Director Of Facility, as its authorized official.

NPPES Registry Identity

NPI1992865653

Entity TypeOrganization

Primary Taxonomy3747A0650X

Legal Business NameHOME COMMUNITY BASE WAIVER - ESS

Location Address1101 HIGHWAY 11 SEllisville, MS 39437-4443

Mailing Address1101 Highway 11 SEllisville, MS 39437-4443 · (601) 477-9384 · Fax (601) 477-5700

Phone(601) 477-9384

Fax(601) 477-5700

Organization SubpartNo

Authorized OfficialSuzie LassiterDirector Of Facility · (601) 477-9384

Enumeration DateDecember 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1992865653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

License✔ Licensed in MS · ESS-BMR

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.

1101 HIGHWAY 11 S, Ellisville, MS 39437

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Other Identifiers 1

Medicaid00770052MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

ELLISVILLE STATE SCHOOL DENTAL

Dentist