Provider Demographics
NPI:1881966695
Name:BATES, ALMA (CNA)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:
Last Name:BATES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:ARJ
Other - Middle Name:
Other - Last Name:HOME HEALTH & HOSPICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7186
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39649-7186
Mailing Address - Country:US
Mailing Address - Phone:601-814-0763
Mailing Address - Fax:601-249-1921
Practice Address - Street 1:1080 QUAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-5508
Practice Address - Country:US
Practice Address - Phone:601-814-0763
Practice Address - Fax:601-249-1921
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-09
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA041050251E00000X, 251G00000X, 372600000X, 3747A0650X, 374U00000X, 376K00000X
251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
No372600000XNursing Service Related ProvidersAdult Companion
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide