The Arc Southeast Mississippi

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THE ARC SOUTHEAST MISSISSIPPI

Practice address

65 Bonhomie Rd
Hattiesburg, MS 39401-8648

Phone

(601) 583-4251

Fax

(601) 583-4251

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Christopher P Moss

Title

Treasurer

Phone

(601) 580-0636

Specialties & licenses 3

Addresses

Tax ID family

The Arc Southeast Mississippi2 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.

• The Arc Southeast Mississippi

  • Adult Day Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1609449537
  NPD tax ID

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1194199042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18800",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048800",
            "telephone_number": "601-580-0636",
            "fax_number": "601-583-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BONHOMIE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018648",
            "telephone_number": "601-583-4251",
            "fax_number": "601-583-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC SOUTHEAST MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "601-580-0636"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyella Terrell, LCSW
• Barry W. Tewis, O. D.
• Gwendolyn Thaggard
• Clay Barton Thames, DDS
• Cynthia Lee Thames, MD
• The Arc Southeast Mississippi
• The Bradley Center LLC
• The Covington'S Cove Assisted Living Center LLC
• The Cstone Group
• The Family Practice/After Hours Clinic, PLLC

• Developmentally Disabled Services Day Training Agency in Hattiesburg, MS
• Providers in Hattiesburg, 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 3, 2021; 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.