Provider Demographics
NPI:1184298796
Name:ELIZA CARES HOMECARE, LLC
Entity type:Organization
Organization Name:ELIZA CARES HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:KEY
Authorized Official - Last Name:JERNIGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-813-3133
Mailing Address - Street 1:139 BELLE MEADE DR
Mailing Address - Street 2:
Mailing Address - City:SALTILLO
Mailing Address - State:MS
Mailing Address - Zip Code:38866-9396
Mailing Address - Country:US
Mailing Address - Phone:662-813-3133
Mailing Address - Fax:662-813-3133
Practice Address - Street 1:201 3RD AVE N STE 7
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-3413
Practice Address - Country:US
Practice Address - Phone:662-372-5793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care