Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mississippi Homecare of Jackson, LLC

Home Health Agency in Jackson, MS · enumerated 2006 · authorized official Peter November, Executive Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053423509

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Mississippi Homecare of Jackson, LLC

Other name <Unavail>

Practice address 817 East River Place, Suite 201, Jackson, MS, 39202

Phone (601) 352-5063

Fax (601) 352-7098

Enumeration date Aug 31, 2006

Last updated in NPPES Oct 23, 2009

Taxonomy & classification

251E00000X Home Health Agency Agencies · License 1294 (MS) Primary

Authorized official

Name Peter November

Title Executive Vice President

Phone (337) 233-1307

Other identifiers

Identifier	Type	State	Issuer
70265	Other	MS	BLUE CROSS BLUE SHIELD OF
00770125	Medicaid	MS	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-10-23. Verify at npiregistry.cms.hhs.gov.

Where is Mississippi Homecare of Jackson, LLC located?

The practice location on file with NPPES is in Jackson, MS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-23.