MEDICARE: AUDREY HOME AND HEALTHCARE SERVICES 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1730043118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDREY HOME AND HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	PO BOX 261
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39043-0261
Country	:	US
Telephone Number	:	769-353-8486
Fax Number	:

Provider Business Practice Location Address
First Line	:	2122 OAK GROVE RD
Second Line	:
City	:	HATTIESBURG
State	:	MS
Zip	:	39402-1571
Country	:	US
Telephone Number	:	769-353-8486
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAVITHIA HEIDELBURG
Credential	:	NP
Telephone Number	:	769-353-8486

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	03/13/2026

Similar Medicare Providers

1821429044 — INHOME CARE INC
Practice Location Address:

2122 OAK GROVE RD STE F-1
HATTIESBURG, MS
39402-1571

Practice Phone: 601-261-2114
Practice Fax:

1548115892 — MRS. JENNIFER FROMAN LCSW
Practice Location Address:

5215 OLD HIGHWAY 11 STE 70
HATTIESBURG, MS
39402-7999

Practice Phone: 601-549-2300
Practice Fax:

1881918019 — DR. ELIZABETH CONERLY SMITH PHD, LPC. BCTMH
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 601-325-3932
Practice Fax: 800-489-0211

1245187202 — SOUL CARE EMPOWERMENT INSTITUTE, INC.
Practice Location Address:

7 PROFESSIONAL PKWY STE 101
HATTIESBURG, MS
39402-2648

Practice Phone: 601-781-1661
Practice Fax: 800-489-0211

1982262424 — MARY K DELANCEY AUD
Practice Location Address:

5128 OLD HIGHWAY 11 STE 8
HATTIESBURG, MS
39402-6234

Practice Phone: 601-450-0280
Practice Fax:

1821551714 — JONATHAN GLAZE MD
Practice Location Address:

105 ASBURY CIR STE B
HATTIESBURG, MS
39402-1397

Practice Phone: 601-450-8500
Practice Fax: 601-450-8501

Directions to “AUDREY HOME AND HEALTHCARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.