Jeans Non Medical Care Respite
Organization Active NPI Respite Care · Sledge, MS
NPI 1154418481 · NPPES record last updated Dec 13, 2007
Key facts
- NPI
- 1154418481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Respite Care 385H00000X
- Legal business name
- JEANS NON MEDICAL CARE RESPITE
- Practice address
- 612 Broad Street
612
Sledge, MS 38270 - Phone
- (662) 382-8883
- Fax
- (662) 382-7776
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Ozie D Phipps, RESPITE PROVIDER
- Title
- Ceo
- Phone
- (662) 382-8883
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Jeans Non Medical Care Respite
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Yes |
Addresses
Primary practice location
612 Broad Street
612
Sledge, MS 38270
Mailing address
430 Williams Ave
P. O. Box 72
Sledge, MS 38670
Phone (662) 382-8883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07354332 | Medicaid | MS |
Other providers in Sledge, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.