OrganizationActive
Care Well LLC
NPI 1922945856 · In Home Supportive Care Agency · Ridgeland, MS
Provider details
- NPI number
- 1922945856
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Latricia Wilkerson, Owner(601) 919-5044
Specialties & taxonomies
Agencies
- Homemaker376J00000X
Nursing Service Related Providers
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
750 Avignon Dr Ste 4
Ridgeland, MS 39157-5157
Phone: (601) 919-5044
Approximate (ZIP-level) locationGet directions
Mailing address
750 Avignon Dr Ste 4
Ridgeland, MS 39157-5157
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.