Organization · Type 2 NPI

Home Community Base Waiver - Ess

Attendant Care Provider · Ellisville, MS

NPI number 1992865653 Active

Practice location

1101 Highway 11 S
Ellisville, MS 39437-4443

Fax (601) 477-5700

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XESS-BMR (MS)

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

11 other providers at this address

About NPI 1992865653

Home Community Base Waiver - Ess's National Provider Identifier is 1992865653, issued on Dec 11, 2006. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Ellisville, MS. The record was last updated on Aug 22, 2020.