NPIMap

Organization Active NPI

Pure Joy Mississippi, LLC

  • Adult Day Care Clinic/Center
  • Clinton, MS
National Provider Identifier
1124684766
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PURE JOY MISSISSIPPI, LLC
Practice address
2 Dove Way Cir
Clinton, MS 39056-3589
Phone
(601) 966-5502
NPI assigned
May 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Authorized official

Name
Joseph Little, MDIV
Title
Ceo
Phone
(601) 966-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2 Dove Way Cir
Clinton, MS 39056-3589

Mailing address

PO Box 693
Clinton, MS 39060-0693
Phone (601) 966-5502

Other identifiers 1

IdentifierTypeStateIssuer
PJM-AGENCYOtherMSMISSISSIPPI DEPARTMENT OF MENTAL HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Pure Joy Mississippi LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558137600000",
    "number": "1124684766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390600693",
            "telephone_number": "601-966-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DOVE WAY CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563589",
            "telephone_number": "601-966-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE JOY MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-966-5502",
        "authorized_official_credential": "MDIV"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI DEPARTMENT OF MENTAL HEALTH",
            "identifier": "PJM-AGENCY",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2019; 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.