Healthcare Provider Details
I. General information
NPI: 1154290575
Provider Name (Legal Business Name): ONE ON ONE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/03/2025
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 YAZOO AVE STE 108
CLARKSDALE MS
38614-4310
US
IV. Provider business mailing address
PO BOX 283
CLARKSDALE MS
38614-0283
US
V. Phone/Fax
- Phone: 662-645-9920
- Fax:
- Phone: 662-645-9920
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VERNESSA
SHEREA
REED
Title or Position: CEO
Credential:
Phone: 662-645-9920