Organization Active NPI

Choices for Children LLC

  • Health Service Clinic/Center
  • Jackson, MS
National Provider Identifier
1083778617
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CHOICES FOR CHILDREN LLC
Practice address
2941 Terry Rd Ste 22
Jackson, MS 39212-3072
Phone
(225) 261-6314
Fax
(225) 262-0226
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mrs. Annette Austin
Title
Ceo
Phone
(225) 261-6314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2941 Terry Rd Ste 22
Jackson, MS 39212-3072

Mailing address

2941 Terry Rd Ste 22
Jackson, MS 39212-3072
Phone (225) 261-6314

Other identifiers 1

IdentifierTypeStateIssuer
0220145MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1083778617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 TERRY RD STE 22",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123072",
            "telephone_number": "225-261-6314",
            "fax_number": "225-262-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 TERRY RD STE 22",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123072",
            "telephone_number": "225-261-6314",
            "fax_number": "225-262-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-261-6314",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220145",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.