Healthcare Provider Details

I. General information

NPI: 1407179039
Provider Name (Legal Business Name): CARING HANDS COMMUNITY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 S WEST ST
JACKSON MS
39201-6402
US

IV. Provider business mailing address

1840 S WEST ST
JACKSON MS
39201-6402
US

V. Phone/Fax

Practice location:
  • Phone: 601-373-2185
  • Fax: 601-373-2186
Mailing address:
  • Phone: 601-373-2185
  • Fax: 601-373-2186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY JORDAN
Title or Position: OWNER
Credential:
Phone: 601-624-0315