Healthcare Provider Details

I. General information

NPI: 1942134044
Provider Name (Legal Business Name): A2 LEGACY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2990 DAVIS RD STE B
BYRAM MS
39170-8714
US

IV. Provider business mailing address

2990 DAVIS RD STE B
BYRAM MS
39170-8714
US

V. Phone/Fax

Practice location:
  • Phone: 601-868-2809
  • Fax:
Mailing address:
  • Phone: 601-868-2809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RASHEKIA HOLTON
Title or Position: FOUNDER & EXECUTIVE DIRECTOR
Credential:
Phone: 601-906-8931