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Organization
HOME CARE AIDE SERVICES
Active
Organization
HOME CARE AIDE SERVICES
Active
Other names
Home Care Aide Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EUGENE WOODS III (CEO)
(916) 698-0643
Entity
Organization
Contact information
Practice address
1411 COLLEGE ST, COLUMBUS, MS 39701-5904
(916) 698-0643
Mailing address
1411 COLLEGE ST, COLUMBUS, MS 39701-5904
(916) 698-0643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
783570728
NON MEDICAL HOME CARE SERVICES
NY
Enumeration date
11/19/2021
Last updated
11/19/2021
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