NPIMap

Organization Active NPI

Serving Communities, LLC

  • Homemaker
  • Hollandale, MS
National Provider Identifier
1013134022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
SERVING COMMUNITIES, LLC
Practice address
204 E Ave South
Hollandale, MS 38748
Phone
(662) 827-2765
Fax
(662) 827-5001
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Justin Henry Eifling
Title
Manager
Phone
(662) 827-2765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X MS Primary

Addresses

Primary practice location

204 E Ave South
Hollandale, MS 38748

Mailing address

PO Box 276
Hollandale, MS 38748-0276
Phone (662) 827-2765

Other identifiers 1

IdentifierTypeStateIssuer
08574202MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013134022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387480276",
            "telephone_number": "662-827-2765",
            "fax_number": "662-827-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E AVE SOUTH",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "38748",
            "telephone_number": "662-827-2765",
            "fax_number": "662-827-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVING COMMUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EIFLING",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "662-827-2765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08574202",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollandale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.