Housing Authority - Clarksdale

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HOUSING AUTHORITY - CLARKSDALE

Practice address

500 Indiana Ave
Clarksdale, MS 38614-5903

Phone

(662) 627-2720

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Royal Ann Spencer

Title

Executive Director

Phone

(662) 624-8030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144355876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386140908",
            "telephone_number": "662-627-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386145903",
            "telephone_number": "662-627-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSING AUTHORITY - CLARKSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ROYAL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-624-8030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770322",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shareika Hollins
• Chandra Patrice Holmes, FNP
• Tomekia L Hooper
• Delphia M Hord, MD
• Lula Owens Hoskins, FNP
• Danielle D Housley, MS
• Tulessia Howard
• Vernon T. Hughes Jr., D.O.
• James Flowers Humber IV, OD
• Hunter B Nelson MD PC

• Developmentally Disabled Services Day Training Agency in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Developmentally Disabled Services Day Training Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.