Cal-Wal Southern, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CAL-WAL SOUTHERN, LLC

Doing business as

Springs of Life

Practice address

114 W Walker St
Greenville, MS 38701-4755

Phone

(601) 456-0447

NPI assigned

May 14, 2019

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonio Calvin

Title

Owner/Administrator

Phone

(601) 213-9783

Specialties & licenses 1

Addresses

Other names 1

• Springs of Life Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1053977298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 ASCOT PL",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387018304",
            "telephone_number": "601-456-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W WALKER ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014755",
            "telephone_number": "601-456-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL-WAL SOUTHERN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "CALVIN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "601-213-9783"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "springsoflife1234@gmail.com",
            "affiliation": "N",
            "address_1": "114 W Walker St",
            "city": "Greenville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387014755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Springs of Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elmertha D. Burton, M.D.
• Tammy White Burton, FNP
• Deloris Butler
• Shirley Byars, LPC
• Tarnisha Byas
• Camry Danielle Campbell, FNP-C
• Cardiovascular Physicians PA
• Caring Health Clinic PC (Amita N Patel MD)
• Carissa Grace Group Home Inc. (Carissa Care Adult Day Care)
• Diane Campbell Carlisle, RNC

• Adult Day Care Clinic/Center in Greenville, MS
• Providers in Greenville, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.