MEDICARE: RIGHT AT YOUR HOME HOMECARE AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1023665254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIGHT AT YOUR HOME HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	PO BOX 596
Second Line	:
City	:	FOXWORTH
State	:	MS
Zip	:	39483-0596
Country	:	US
Telephone Number	:	601-341-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 LAFAYETTE ST
Second Line	:
City	:	COLUMBIA
State	:	MS
Zip	:	39429-2059
Country	:	US
Telephone Number	:	601-633-5048
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CATRINA D TATE
Credential	:	NON MEDICAL HOMECARE
Telephone Number	:	601-633-5048

Provider Enumeration Date	:	08/22/2019
Last Update Date	:	02/06/2020

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