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Mississippi Homecare, LLC

Home Health Agency in Vicksburg, MS · enumerated 2006 · authorized official Donald Stelly, President.

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

National Provider Identifier

1497867857

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Registry record

Entity type Organization (Type 2)
Legal business name Mississippi Homecare, LLC
Practice address 2080 S Frontage Rd Ste 107, Vicksburg, MS, 39180
Fax (601) 629-0046
Enumeration date Aug 31, 2006
Last updated in NPPES Mar 9, 2018

Taxonomy & classification

251E00000X Home Health Agency Agencies · License 3581 (MS) Primary

Authorized official

Name Donald Stelly
Title President

Other identifiers

Identifier Type State Issuer
0770602 Medicaid MS -
70757 Other MS BLUE CROSS BLUE SHIELD OF

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 2018-03-09. Verify at npiregistry.cms.hhs.gov.
Where is Mississippi Homecare, LLC located?
The practice location on file with NPPES is in Vicksburg, MS.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-09.