Caring Hearts of Mississippi Nonprofit Outreach

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

CARING HEARTS OF MISSISSIPPI NONPROFIT OUTREACH

Practice address

1170 Pine Acres LN
Terry, MS 39170-7628

Phone

(601) 291-6858

NPI assigned

Dec 20, 2019

Organization subpart

No

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

Authorized official

Name

Angela Collins

Title

Executive Director

Phone

(866) 969-5414

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1336787365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FREEDOM RD",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325352436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PINE ACRES LN",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391707628",
            "telephone_number": "601-291-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS OF MISSISSIPPI NONPROFIT OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "866-969-5414"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acollins@ecsdfl.us",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "740 Freedom Rd",
            "city": "Century",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325352436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ed_caringheartsofms@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Executive Director's email",
            "address_1": "1170 Pine Acres Ln",
            "city": "Terry",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391707628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Above Average Healthcare
• Awaken by Wellness LLC (Aga Young)
• Marisa Nicole Barlow, FNP
• Darius Campbell
• Central Mississippi Civic Improvement Association, Inc. (Jackson-Hinds Comprehensive Health Center Byram Middle School-based Cl)
• Central Mississippi Civic Improvement Association, Inc. (Jackson-Hinds Comprehensive Health Center - Terry High School-based Cl)
• Keneen Childress, C.S.A
• Christopher Shan Cothern, MS, LPC, LMFT
• Elite Indigo

• Health & Wellness Coach in Terry, MS
• Providers in Terry, MS by specialty
• Health & Wellness Coach in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.