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Jackson Ms Homecare

Jackson Ms Homecare is a healthcare organization registered as In Home Supportive Care Agency in Jackson, MS, holding Type 2 (organization) NPI 1376152512 since 2020. The authorized official on file is Clifton Daniels, Executive Director.

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NPI 1376152512
Entity type Organization (Type 2)
Legal business name Jackson Ms Homecare
Other name <Unavail>
Practice address 2625 RIDGEWOOD RD STE 104, Jackson, MS, 39216
Phone 6015005027
Fax 6015007344
Enumeration date 2020-07-23
Last updated in NPPES 2023-11-17

Authorized official

Name Clifton Daniels
Title Executive Director
Phone 6015005027

Taxonomy & classification

Taxonomy code Specialty Primary License State
374U00000X Home Health Aide Secondary
253Z00000X In Home Supportive Care Agency Primary
Copy-ready billing details
Provider: Jackson Ms Homecare
NPI: 1376152512
Taxonomy: 253Z00000X (In Home Supportive Care Agency)
Address: 2625 RIDGEWOOD RD STE 104, Jackson, MS, 39216

Verify this record

Cross-check NPI 1376152512 against the authoritative CMS record: view Jackson Ms Homecare on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jackson Ms Homecare located?
The practice location on file with NPPES is in Jackson, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-11-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-17.