National Provider Identifier Database

SOUTHERN HEALTHCARE AGENCY INC
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

SOUTHERN HEALTHCARE AGENCY, INC.
301 NEW POINTE
RIDGELAND, MS39157-3904
Phone: 601-933-0037
Fax: 601-932-8468
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X
In Home Supportive Care 253Z00000X
Respite Care 385H00000X
Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for SOUTHERN HEALTHCARE AGENCY, INC.

NPI Number 1336338763
Legal business name
LBN
SOUTHERN HEALTHCARE AGENCY, INC.
Authorized official JACKIE MCMILLAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 10/22/2007
Last updated 07/15/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 27 17 009C
  • MS Medicaid: 00118933
  • MS Medicaid: 00770283
  • MS Medicaid: 00770284

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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