Christ Servants 2020 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHRIST SERVANTS 2020 LLC

Practice address

1035 W Mayes St
Jackson, MS 39213-6100

Phone

(769) 216-3968

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Iesha Coleman

Title

Owner/President

Phone

(769) 216-3968

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1003550112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W MAYES ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392136100",
            "telephone_number": "769-216-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 W MAYES ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392136100",
            "telephone_number": "769-216-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIST SERVANTS 2020 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "IESHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "769-216-3968"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Print Chouteau
• Kameron Chow
• Kimberly Chow
• Stephen Robert Chow, M.D.
• Semira Chowdhury
• Elizabeth Anne Christ, M.D.
• Christian Sitters
• Christian Sitters
• Ava Christian, FNP-C
• Cora Christian

• In Home Supportive Care Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• In Home Supportive Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.