Provider Demographics
NPI:1194255570
Name:C & C NURSING COMPANY
Entity type:Organization
Organization Name:C & C NURSING COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-983-7168
Mailing Address - Street 1:PO BOX 515
Mailing Address - Street 2:
Mailing Address - City:TERRY
Mailing Address - State:MS
Mailing Address - Zip Code:39170-0515
Mailing Address - Country:US
Mailing Address - Phone:601-983-7168
Mailing Address - Fax:769-251-1295
Practice Address - Street 1:2425 S PEARSON RD
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-9443
Practice Address - Country:US
Practice Address - Phone:601-983-7168
Practice Address - Fax:769-257-5659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No385H00000XRespite Care FacilityRespite Care