OrganizationActive
Mississippi Homecare of Jackson, LLC
NPI 1053423509 · Home Health Agency · Jackson, MS
Mississippi Homecare of Jackson, LLC is a Home Health Agency organization in Jackson, MS (NPI 1053423509).
Provider details
- NPI number
- 1053423509
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Peter November, Executive Vice President(337) 233-1307
- License
- 1294 (MS)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
817 East River Place
Suite 201
Jackson, MS 39202
Phone: (601) 352-5063
Fax: (601) 352-7098
Street-level locationGet directions
Mailing address
Po Box 51266
Lafayette, LA 70505-1266
Other names (DBA / former)
- Doing business as
- Mississippi Homecare / Jackson
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2009-10-23
Frequently asked questions
- What is Mississippi Homecare of Jackson, LLC's NPI number?
- Mississippi Homecare of Jackson, LLC's National Provider Identifier (NPI) is 1053423509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Homecare of Jackson, LLC?
- Mississippi Homecare of Jackson, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Mississippi Homecare of Jackson, LLC located?
- Mississippi Homecare of Jackson, LLC's practice location on file with NPPES is 817 East River Place, Jackson, MS 39202.
- What is Mississippi Homecare of Jackson, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Homecare of Jackson, LLC is (601) 352-5063.
- Who is the authorized official for Mississippi Homecare of Jackson, LLC?
- The authorized official listed on Mississippi Homecare of Jackson, LLC's NPPES record is Peter November, Executive Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Homecare of Jackson, LLC's NPI active?
- Yes — Mississippi Homecare of Jackson, LLC's NPI (1053423509) is active in the NPPES registry as of the last update on 2009-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.