Organization Active NPI

Christian Sitters

  • Respite Care
  • Jackson, MS
National Provider Identifier
1124465547
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
08177766 Issued in MS
Legal business name
CHRISTIAN SITTERS
Practice address
5538 North State Street Ste 106
Jackson, MS 39206
Phone
(601) 982-2277
Fax
(601) 982-2162
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Mrs. Bobbie J Brown
Title
Director
Phone
(601) 982-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 08177766 MS Primary

Addresses

Primary practice location

5538 North State Street Ste 106
Jackson, MS 39206

Mailing address

5538 N State St
Suit 106
Jackson, MS 39206-3531
Phone (601) 982-2277

Other identifiers 1

IdentifierTypeStateIssuer
BOBBIE BROWNOtherMSMEDICAID WAVIER

Other names 1

  • Bobbie J. Brown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bobbie J Brown2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5538 N State St
Ste 106
Jackson, MS 39206
Phone (601) 982-2277

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1124465547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 N STATE ST",
            "address_2": "SUIT 106",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063531",
            "telephone_number": "601-982-2277",
            "fax_number": "601-982-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5538 NORTH STATE STREET STE 106",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-982-2277",
            "fax_number": "601-982-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN SITTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-982-2277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MS",
            "license": "08177766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAVIER",
            "identifier": "BOBBIE BROWN",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bobbie J. Brown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2013; 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.