Provider Demographics
NPI:1225590433
Name:CARE STARTS AT HOME
Entity Type:Organization
Organization Name:CARE STARTS AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:SHEA
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:662-295-1895
Mailing Address - Street 1:100 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-7980
Mailing Address - Country:US
Mailing Address - Phone:662-295-1895
Mailing Address - Fax:
Practice Address - Street 1:100 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-7980
Practice Address - Country:US
Practice Address - Phone:662-295-1895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care