Provider Demographics
NPI:1386328771
Name:MS. B'S PROFESSIONAL CAREGIVERS FOR HOME NEEDS
Entity type:Organization
Organization Name:MS. B'S PROFESSIONAL CAREGIVERS FOR HOME NEEDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:CAREGIVER
Authorized Official - Phone:662-216-9396
Mailing Address - Street 1:2640 ODELL RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-9138
Mailing Address - Country:US
Mailing Address - Phone:662-216-9396
Mailing Address - Fax:
Practice Address - Street 1:2640 ODELL RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-9138
Practice Address - Country:US
Practice Address - Phone:662-507-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-14
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No174200000XOther Service ProvidersMeals
No251G00000XAgenciesHospice Care, Community Based
No343800000XTransportation ServicesSecured Medical Transport (VAN)