NPIMap

Organization Active NPI

Pure Joy Mississippi, LLC

  • Community/Behavioral Health Agency
  • Clinton, MS
National Provider Identifier
1184280711
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PURE JOY MISSISSIPPI, LLC
Practice address
2 Dove Way Cir
Clinton, MS 39056-3589
Phone
(601) 966-5502
NPI assigned
May 20, 2019
Last updated
May 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 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
Community/Behavioral Health Agency 251S00000X 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

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": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1184280711",
    "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": "2019-05-20",
        "last_updated": "2019-05-20",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 20, 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.