Healthcare Provider Details

I. General information

NPI: 1396689048
Provider Name (Legal Business Name): HOME AWAY FROM HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6227 15TH AVE
MERIDIAN MS
39305-1238
US

IV. Provider business mailing address

6147 POPLAR SPRINGS DR
MERIDIAN MS
39305-1250
US

V. Phone/Fax

Practice location:
  • Phone: 601-616-8902
  • Fax:
Mailing address:
  • Phone: 601-616-8902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: JALEENA HOPSON
Title or Position: OWNER
Credential:
Phone: 601-616-8902