Organization Active NPI

Spirit Care Services Inc

  • Respite Care
  • Olive Branch, MS
National Provider Identifier
1003328733
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SPIRIT CARE SERVICES INC
Practice address
9925 Highway 178
Olive Branch, MS 38654-3213
Phone
(901) 292-8494
Fax
(662) 932-2278
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ray Shawn Johnson
Title
Owner
Phone
(901) 292-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

9925 Highway 178
Olive Branch, MS 38654-3213

Mailing address

6717 Branch Rd S
Olive Branch, MS 38654-4377
Phone (901) 292-8494

National Provider Directory

National Provider Directory

Locations

9925 Highway 178
Olive Branch, MS 38654
Phone (901) 292-8494

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1003328733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 BRANCH RD S",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386544377",
            "telephone_number": "901-292-8494",
            "fax_number": "662-893-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 HIGHWAY 178",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386543213",
            "telephone_number": "901-292-8494",
            "fax_number": "662-932-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-292-8494"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.