Healthcare Provider Details

I. General information

NPI: 1083484703
Provider Name (Legal Business Name): TAMAR COMMUNITY CARES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2024
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W WOODROW WILSON AVE STE 3572
JACKSON MS
39213-7682
US

IV. Provider business mailing address

350 W WOODROW WILSON AVE STE 3572
JACKSON MS
39213-7682
US

V. Phone/Fax

Practice location:
  • Phone: 769-251-5303
  • Fax: 769-251-5681
Mailing address:
  • Phone: 769-251-5303
  • Fax: 769-251-5681

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 Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MS. ROSLYN I SMITH
Title or Position: CO-OWNER/ MEMBER
Credential: LPC-S, NCC
Phone: 601-966-0167