Healthcare Provider Details

I. General information

NPI: 1548132087
Provider Name (Legal Business Name): CALORA HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6791 S SIWELL RD STE B
BYRAM MS
39272-9685
US

IV. Provider business mailing address

130 SOUTHPOINTE DR STE D
BYRAM MS
39272-5528
US

V. Phone/Fax

Practice location:
  • Phone: 601-863-0258
  • Fax: 601-990-4288
Mailing address:
  • Phone: 601-863-0258
  • Fax: 601-990-4288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LATOSHA LAIRD
Title or Position: OWNER
Credential: AGNP-C
Phone: 601-863-0258