Provider Demographics
NPI:1609904283
Name:HOME CARE SOLUTIONS, INC.
Entity Type:Organization
Organization Name:HOME CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENBLOOM
Authorized Official - Suffix:
Authorized Official - Credentials:BSHCA-MBA
Authorized Official - Phone:662-393-0020
Mailing Address - Street 1:1931 VETERANS DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-2009
Mailing Address - Country:US
Mailing Address - Phone:662-393-0020
Mailing Address - Fax:662-393-0180
Practice Address - Street 1:1931 VETERANS DR
Practice Address - Street 2:SUITE 201
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-2009
Practice Address - Country:US
Practice Address - Phone:662-393-0020
Practice Address - Fax:662-393-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL3(27)4M2-017-6480251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN00747OtherDMRS AGENCY NUMBER
TN0445780Medicaid
MS00770323Medicaid
MS00770472Medicaid