Provider Demographics
NPI:1952483224
Name:HOME HEALTH CARE SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:HOME HEALTH CARE SUPPORT SERVICES, INC.
Other - Org Name:CONTINUE CARE SUPPORT SERVICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-733-3600
Mailing Address - Street 1:770 STUART RD NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-5080
Mailing Address - Country:US
Mailing Address - Phone:662-746-5815
Mailing Address - Fax:
Practice Address - Street 1:15359 HIGHWAY 49 S STE 3
Practice Address - Street 2:
Practice Address - City:YAZOO CITY
Practice Address - State:MS
Practice Address - Zip Code:39194-4517
Practice Address - Country:US
Practice Address - Phone:662-746-5815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS376J00000XMedicaid
MS00770613Medicaid
MS00770614Medicaid