NPIMap

Organization Active NPI

We Care Community, Inc

Doing business as Jeans Non Medical Care Respite Services

  • Contractor
  • Crenshaw, MS
National Provider Identifier
1205936002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
261QAD600X Issued in MS
Legal business name
WE CARE COMMUNITY, INC
Doing business as
Jeans Non Medical Care Respite Services
Practice address
612 Broad Street
Crenshaw, MS 38621
Phone
(662) 382-8883
Fax
(662) 382-7776
NPI assigned
Sep 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Ozie D Phipps, ADC PROVIDER
Title
Ceo
Phone
(662) 382-8883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171W00000X 261QAD600X MS Primary

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 names 1

  • Jeans Non Medical Care Respite Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeans Non Medical Care Respite3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

612 Broad St
Crenshaw, MS 38621
Phone (662) 382-8883

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205936002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 WILLIAMS AVENUE",
            "address_2": "P. O. BOX 72",
            "city": "SLEDGE",
            "state": "MS",
            "postal_code": "38670",
            "telephone_number": "662-382-7754",
            "fax_number": "662-382-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BROAD STREET",
            "city": "CRENSHAW",
            "state": "MS",
            "postal_code": "38621",
            "telephone_number": "662-382-8883",
            "fax_number": "662-382-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE CARE COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "OZIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-382-8883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADC PROVIDER"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "MS",
            "license": "261QAD600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeans Non Medical Care Respite Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crenshaw, MS

Sources for this page

  • 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.