Provider Demographics
NPI:1124205653
Name:DHS SERVICES LLC
Entity Type:Organization
Organization Name:DHS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-914-1004
Mailing Address - Street 1:805 S WHEATLEY ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-5000
Mailing Address - Country:US
Mailing Address - Phone:601-914-1004
Mailing Address - Fax:601-914-0529
Practice Address - Street 1:403 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-2164
Practice Address - Country:US
Practice Address - Phone:662-324-1799
Practice Address - Fax:662-323-5719
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SARUSH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-28
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS02369/11.1332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00040247Medicaid
MS00040247Medicaid