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 NameHOME COMMUNITY BASE WAIVER - ESS
Location Address1101 HIGHWAY 11 S ELLISVILLE, MS 39437
Location Phone(601) 477-9384
Mailing Address1101 HIGHWAY 11 S ELLISVILLE, MS 39437
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-11-2006
Last Update Date08-22-2020


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 Code3747A0650X
ClassificationTechnician
TypeNursing Service Related Providers
SpecializationAttendant Care Provider
License No.ESS-BMR
License StateMS
Taxonomy DescriptionAn 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

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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

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official NameDR. SUZIE LASSITER
Authorized Official TitleDIRECTOR OF FACILITY
Authorized Official Phone(601) 477-9384

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
00770052MEDICAID (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.
1992865653
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918216610610
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 = 33

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
Dentist1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-5792
1720181191ELLISVILLE STATE SCHOOL
Organization
Health Maintenance Organization1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-9384
1508962101MRS. LISA GRAHAM BLESSE FNP
Individual
Nurse Practitioner (Family)1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-5795
1164582821ELLISVILLE STATE SCHOOL
Organization
Technician1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-9384
1255364337DR. JOSEPH RODNEY MORING M.D.
Individual
Emergency Medicine1101 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
1578668901ELLISVILLE STATE SCHOOL
Organization
Pharmacy (Long Term Care Pharmacy)1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-5785
1306914700HILLSIDE
Organization
Nursing Facility/Intermediate Care Facility1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-9384
1205904604PECAN GROVE
Organization
Nursing Facility/Intermediate Care Facility1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-9384
1598833998PAUL D. COTTEN
Organization
Nursing Facility/Intermediate Care Facility1101 HIGHWAY 11 S
ELLISVILLE, MS 39437
(601) 477-9384
1013085414ELLISVILLE STATE SCHOOL DENTAL
Organization
Dentist1101 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]