Active NPI
Warren-Washington-Issaquena-Sharkey Community Action Agency
- Community/Behavioral Health Agency
- Greenville, MS
National Provider Identifier
1316119217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WARREN-WASHINGTON-ISSAQUENA-SHARKEY COMMUNITY ACTION AGENCY
- Practice address
- 1544 Old Leland Rd
Greenville, MS 38701-2656 - Phone
- (662) 378-5857
- Fax
- (662) 378-5859
- NPI assigned
- Mar 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jean Marie Hill
- Title
- Executive Director
- Phone
- (662) 378-5857
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1544 Old Leland Rd
Greenville, MS 38701-2656
Mailing address
1544 Old Leland Rd
Greenville, MS 38701-2656
Phone (662) 378-5857
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770342 | Medicaid | MS | |
| 00070527 | Medicaid | MS |
Other names 1
- WWISCAA
National Provider Directory
National Provider Directory- Tax ID family
- Warren-Washington-Issaquena-Sharkey Community Action Agency
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Greenville, MS
- NPI 1699930610
Locations
1544 Old Leland Rd
Greenville, MS 38701
Phone (662) 378-5857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206921600000",
"number": "1316119217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1544 OLD LELAND RD",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387012656",
"telephone_number": "662-378-5857",
"fax_number": "662-378-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 OLD LELAND RD",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387012656",
"telephone_number": "662-378-5857",
"fax_number": "662-378-5859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN-WASHINGTON-ISSAQUENA-SHARKEY COMMUNITY ACTION AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "662-378-5857",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770342",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00070527",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WWISCAA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.