OrganizationActive
Mossy Oak Personal Care Home LLC
NPI 1053287698 · In Home Supportive Care Agency · Jesup, GA
Provider details
- NPI number
- 1053287698
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Katie Hires, Owner(912) 294-2837
Specialties & taxonomies
Agencies
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1150 River Rd
Jesup, GA 31546-1303
Phone: (912) 588-0065
Street-level locationGet directions
Mailing address
1150 River Rd
Jesup, GA 31546-1303
Registry dates
- Enumerated
- 2025-10-13
- Last updated
- 2025-10-13
- Certified
- 2025-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.