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Contact Information

CDS HOME CARE, INC.
1911 MISSION 66
SUITE H
VICKSBURG, MS39180-3762
 Phone: 601-883-2999
 Fax: 601-883-2877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CDS HOME CARE, INC.

NPI # 1902871809
LBN Legal business name CDS HOME CARE, INC.
Authorized official REAGAN BROWN - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
MS License # 05542/02.2
MS Medicaid 00330687
MS Medicaid 00440953
MS Other 2521652 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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