Organization · Type 2 NPI

Mikey's Memory HCBS LLC

Home Health Agency · Long Beach, MS

NPI number 1104702687 Active

Practice location

18308 Commission Rd Ste A
Long Beach, MS 39560-2402

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency Primary 251E00000XNone listed
Community Based Hospice Care Agency 251G00000XNone listed
Adult Day Care Clinic/Center 261QA0600XNone listed
Developmental Disabilities Clinic/Center 261QD1600XNone listed
Nurse's Aide 376K00000XNone listed
Respite Care 385H00000XNone listed
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060XNone listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

2 other providers at this address

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About NPI 1104702687

Mikey's Memory HCBS LLC's National Provider Identifier is 1104702687, issued on Aug 12, 2025. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Long Beach, MS. The record was last updated on Oct 9, 2025.