We Care Community, Inc
Organization Active NPI Contractor · Crenshaw, MS
NPI 1205936002 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1205936002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- License
- 261QAD600X (MS)
- Legal business name
- WE CARE COMMUNITY, INC
- Practice address
- 612 Broad Street
Crenshaw, MS 38621 - Phone
- (662) 382-8883
- Fax
- (662) 382-7776
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Ozie D Phipps, ADC PROVIDER
- Title
- Ceo
- Phone
- (662) 382-8883
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Jeans Non Medical Care Respite
Locations
612 Broad St
Crenshaw, MS 38621
Phone (662) 382-8883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | 261QAD600X | MS | Yes |
Addresses
Primary practice location
612 Broad Street
Crenshaw, MS 38621
Mailing address
430 Williams Avenue
P. O. Box 72
Sledge, MS 38670
Phone (662) 382-7754
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03138365 | Medicaid | MS | |
| 09152532 | Medicaid | MS |
Other names
- Jeans Non Medical Care Respite Services
Other providers in Crenshaw, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.