Community Development Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

COMMUNITY DEVELOPMENT INC.

Practice address

200 N Front St
Richton, MS 39476-2201

Phone

(601) 788-5865

Fax

(601) 788-5722

NPI assigned

Feb 15, 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. Oma Faye Hibbler

Title

Administrator

Phone

(601) 788-5865

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Community Development Inc

  dba Community Family Medical Clinic

  • Rural Health Clinic/Center
  • Richton, MS
  • NPI 1235081118
  NPPES parent name

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184767568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N FRONT ST",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394762201",
            "telephone_number": "601-788-5865",
            "fax_number": "601-788-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N FRONT ST",
            "city": "RICHTON",
            "state": "MS",
            "postal_code": "394762201",
            "telephone_number": "601-788-5865",
            "fax_number": "601-788-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DEVELOPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIBBLER",
        "authorized_official_first_name": "OMA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-788-5865",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770321",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770364",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00770494",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0770403",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caltrell Health Consulting LLC
• Janell G Carter, FNP
• Willena Causey
• Coastal Family Health Center Inc (Coastal Family Health Center Inc - Sand Hill School Clinic)
• Community Development Inc (Community Family Medical Clinic)
• Tylinda Cotton, RN
• Nicholas Martin Darby, DDS
• Dr Michael S Zaleski (Total Foot Care Clinic)
• Lashunda Everett, IDD WAIVER SERVICES
• Express Care Medical Clinic LLC

• Developmentally Disabled Services Day Training Agency in Richton, MS
• Providers in Richton, 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.