Organization Active NPI

Senergetic Manifold Protoplasm LLC

  • Home Delivered Meals
  • Southaven, MS
National Provider Identifier
1093637704
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
SENERGETIC MANIFOLD PROTOPLASM LLC
Practice address
3603 Thorn Tree LN
Southaven, MS 38672-7013
Phone
(901) 643-8625
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Mrs. Crystal Cherie Simpson -Jones
Title
Organizer
Phone
(901) 643-8625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

3603 Thorn Tree LN
Southaven, MS 38672-7013

Mailing address

3603 Thorn Tree LN
Southaven, MS 38672-7013
Phone (901) 643-8625

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1093637704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 THORN TREE LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727013",
            "telephone_number": "901-643-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 THORN TREE LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727013",
            "telephone_number": "901-643-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENERGETIC MANIFOLD PROTOPLASM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "SIMPSON -JONES",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "CHERIE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "901-643-8625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.