CMS-1500 Box 24J / 33a • NPI
1033554696
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
163WH0200X
CMS-Certified Home Health Care & Skilled Nursing Agency
Box 32 Service Location & ZIP+4
118 LEVON OWENS DR, TERRY, MS, 39170-9696
✓ 9-Digit EDI 837 ZIP+4 (39170-9696)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1033554696 (PATRICH MANN, R.N.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1033554696 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PATRICH MANN, R.N. |
| Plain-English Specialty | CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: 163WH0200X (Registered Nurse, Home Health) |
| Certifying / Licensing Body | CMS Home Health Conditions of Participation / CHAP / ACHC |
| Practice Location Address | 118 LEVON OWENS DR, TERRY, MS, 39170-9696 |
| Practice Telephone / Fax | Tel: (601) 720-5460 | Fax: (601) 878-0687 |
| Administrative Mailing Address | 118 LEVON OWENS DR, TERRY, MS, 39170-9696 |
| Enumeration & Last Sync | Enumerated: 2013-05-08 | CMS Record Updated: 2013-05-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (163WH0200X)
What Does Taxonomy Code 163WH0200X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH0200X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PATRICH MANN, R.N.)
Typical CPT / Diagnostic Procedures:- In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
- Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation
- Home Infusion Antimicrobials, Anticoagulants & Insulin Titration
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
163WH0200X — Registered Nurse, Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: MS | License: R866849 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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