Healthcare Provider Details

I. General information

NPI: 1497277719
Provider Name (Legal Business Name): HAMILTONDAVIS CARE AT HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 AIRPORT RD S
PEARL MS
39208-6650
US

IV. Provider business mailing address

311 AIRPORT RD S
PEARL MS
39208-6650
US

V. Phone/Fax

Practice location:
  • Phone: 601-932-1003
  • Fax: 601-932-1007
Mailing address:
  • Phone: 601-932-1003
  • Fax: 601-932-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARIE ABSTON
Title or Position: PRESIDENT
Credential:
Phone: 601-932-1004