Maids

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MAIDS

Doing business as

Maids LLC

Practice address

6831 Crumpler Blvd Ste 100
Olive Branch, MS 38654-2055

Phone

(901) 487-1912

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Calina L Patterson

Title

Biller

Phone

(662) 347-2052

Specialties & licenses 1

Addresses

Other names 1

• MAIDS LLC Doing business as

Locations

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1093387458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 JOHN MICHAEL DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728597",
            "telephone_number": "662-347-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6831 CRUMPLER BLVD STE 100",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542055",
            "telephone_number": "901-487-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CALINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "662-347-2052"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIDS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.