COASTAL PLAINS HOME HEALTH AGENCY 9A
NPI 1336124270
Home Health in Gulfport, MS

NPI Status: Active since December 14, 2005

Contact Information

1102 45TH AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 867-6115
Fax: (228) 867-6185

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  • Organization
  • Home Health

About COASTAL PLAINS HOME HEALTH AGENCY 9A

This page provides the complete NPI Profile along with additional information for Coastal Plains Home Health Agency 9a, a provider established in Gulfport, Mississippi operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1336124270 assigned on December 2005. The practitioner's primary taxonomy code is 251E00000X with license number 3481 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Mitchell Adcock Cpa Cia Cfe (Director Of Finance Administration)

NPI
1336124270
Provider Name
COASTAL PLAINS HOME HEALTH AGENCY 9A
Entity Type
Organization
Location Address
1102 45TH AVE GULFPORT, MS 39501
Location Phone
(228) 867-6115
Location Fax
(228) 867-6185
Mailing Address
1102 45TH AVE GULFPORT, MS 39501
Mailing Phone
(228) 867-6115
Mailing Fax
(228) 867-6185
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
3481
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MITCHELL ADCOCK CPA CIA CFE

Authorized Official Title
DIRECTOR OF FINANCE ADMINISTRATION
Authorized Official Phone
(601) 576-7853

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00070500MEDICAID (05)MS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336124270
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366228214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 2 + 8 + 2 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336124270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063436632MS. LENORA JEAN BAYES APRN, BC, FNP
Individual
Nurse Practitioner1102 45TH AVE
GULFPORT, MS 39501
(228) 863-1036
1407267107MISSISSIPPI STATE DEPARTMENT OF HEALTH
Organization
Public Health or Welfare1102 45TH AVE
GULFPORT, MS 39501
(228) 863-1036
1861480485MS. FAYE CENTENO WHCNP
Individual
Nurse Practitioner (Women's Health)1102 45TH AVE
GULFPORT, MS 39501
(228) 863-1036
1104673276 KAITLYN GOETSCH NP
Individual
Nurse Practitioner (Family)1102 45TH AVE
GULFPORT, MS 39501
(228) 863-1036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336124270, enumerated in the NPI registry as an "organization" on December 14, 2005

The provider is located at 1102 45th Ave Gulfport, Ms 39501 and the phone number is (228) 867-6115

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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