Trinity Mission Health & Rehab of Great Oaks, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

TRINITY MISSION HEALTH & REHAB OF GREAT OAKS, LLC

Practice address

111 Chase St
Byhalia, MS 38611-7395

Phone

(662) 838-3670

Fax

(662) 838-3740

NPI assigned

Dec 8, 2009

Organization subpart

Yes

Parent organization

COVENANT DOVE, LLCAs reported in NPPES

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

Authorized official

Name

Christopher J Murphy

Title

Vice President

Phone

(901) 937-7994

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1083943831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117395",
            "telephone_number": "662-838-3670",
            "fax_number": "662-838-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117395",
            "telephone_number": "662-838-3670",
            "fax_number": "662-838-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MISSION HEALTH & REHAB OF GREAT OAKS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT DOVE, LLC",
        "enumeration_date": "2009-12-08",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08485537",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Speedy Care Clinic
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• Shannon Marie Taylor, D.M.D.
• The Miss Anne Group
• Dwight Thompson, DSS
• Altamese Walls
• Marilyn West
• Chrystal Williams-Davis, FNP-BC
• Amy R. Woods, M.D.

• Occupational Therapist in Byhalia, MS
• Providers in Byhalia, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.