Healthcare Provider Details

I. General information

NPI: 1215854575
Provider Name (Legal Business Name): LATER MADE GREATER CAREGIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4137 PLAZA ST
JACKSON MS
39206-4721
US

IV. Provider business mailing address

4137 PLAZA ST
JACKSON MS
39206-4721
US

V. Phone/Fax

Practice location:
  • Phone: 601-612-3612
  • Fax:
Mailing address:
  • Phone: 601-612-3612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. CASSANDRA S NELSON
Title or Position: PERSONAL CARE ATTENDANT
Credential:
Phone: 601-612-3612