Organization Active NPI

Carestay Residential Living

  • Lodging Provider
  • Meridian, MS
National Provider Identifier
1154297836
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
Legal business name
CARESTAY RESIDENTIAL LIVING
Practice address
329 43Rd Ave
Meridian, MS 39307-6848
Phone
(901) 580-7875
NPI assigned
Oct 10, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Conbrianna Evans, MSW
Title
Owner
Phone
(901) 580-7875

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lodging Provider 177F00000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

329 43Rd Ave
Meridian, MS 39307-6848

Mailing address

1218 Cliffdale Dr
Clinton, MS 39056-3406

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1154297836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 CLIFFDALE DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 43RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393076848",
            "telephone_number": "901-580-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARESTAY RESIDENTIAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CONBRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-580-7875",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.