Healthcare Provider Details

I. General information

NPI: 1407792823
Provider Name (Legal Business Name): LATOYA HITE CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3836 HIGHWAY 82 W LOT 55
LELAND MS
38756-9343
US

IV. Provider business mailing address

3836 HIGHWAY 82 W LOT 55
LELAND MS
38756-9343
US

V. Phone/Fax

Practice location:
  • Phone: 662-394-5125
  • Fax:
Mailing address:
  • Phone: 662-394-5125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number74415
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: