Healthcare Provider Details

I. General information

NPI: 1336059062
Provider Name (Legal Business Name): HOME CARE COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

13325 CARRIAGE CIR
GULFPORT MS
39503-4981
US

IV. Provider business mailing address

13325 CARRIAGE CIR
GULFPORT MS
39503-4981
US

V. Phone/Fax

Practice location:
  • Phone: 228-207-7160
  • Fax:
Mailing address:
  • Phone: 228-207-7160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMESHIA MCDOWELL
Title or Position: OWNER
Credential:
Phone: 228-207-7160