Healthcare Provider Details

I. General information

NPI: 1851242895
Provider Name (Legal Business Name): A WORK OF ART HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 SAINT CHARLES ST
HAZLEHURST MS
39083-2818
US

IV. Provider business mailing address

214 SAINT CHARLES ST
HAZLEHURST MS
39083-2818
US

V. Phone/Fax

Practice location:
  • Phone: 888-851-3731
  • Fax:
Mailing address:
  • Phone: 769-333-5419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA JACKSON
Title or Position: OWNER/ADMINISTRATOR
Credential:
Phone: 769-333-5419