Provider Demographics
NPI:1194301937
Name:H.B.S. ADULT CARE
Entity type:Organization
Organization Name:H.B.S. ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:LAQUETA
Authorized Official - Last Name:HENLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-251-3188
Mailing Address - Street 1:2004 BLUECUTT RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1419
Mailing Address - Country:US
Mailing Address - Phone:662-435-4976
Mailing Address - Fax:
Practice Address - Street 1:2004 BLUECUTT RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1419
Practice Address - Country:US
Practice Address - Phone:662-435-4976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health