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General NPI Number Information
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NPI Number | 1518957083
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Entity Type | Organization
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Legal Business Name | SOUTH MISSISSIPPI HOME HEALTH, INC.
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 128 S 11TH AVE
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City | LAUREL
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State | MS
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Zip | 39440-4313
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Country | US
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Telephone | 601-261-4010
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51266
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City | LAFAYETTE
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State | LA
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Zip | 70505-1266
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Country | US
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Telephone | 337-233-1307
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Fax | 337-233-5764
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Authorized Official
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Title or Position | PREESIDENT
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Name | JOSHUA L. PROFFITT
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Credential |
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Telephone | 337-233-1307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 036
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License Number State | MS
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