Organization Name: | MID-DELTA HOME HEALTH OF CHARLESTON, INC. |
NPI Number: | 1457376360 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLARA T. REED (CEO) |
Mailing Address: | 620 S State St Suite 3 Clarksdale |
State: | MS US |
Postal Code: | 386146325 |
Phone Number: | 6626244910 |
Fax Number: | 6622474924 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 11/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251E00000X |
License Number: | 7588 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Health |
Taxonomy Specialization: | |
Taxonomy Definition: | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |