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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