Community Living in Mississippi - Baddour

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COMMUNITY LIVING IN MISSISSIPPI - BADDOUR

Doing business as

Climb

Practice address

3297 Highway 51 S
Senatobia, MS 38668-2926

Phone

(662) 689-0501

NPI assigned

Jan 10, 2018

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Parke Pepper

Title

Chairperson

Phone

(662) 689-0501

Specialties & licenses 1

Addresses

Other names 1

• CLIMB Doing business as

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1417464512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386680097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3297 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682926",
            "telephone_number": "662-689-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING IN MISSISSIPPI - BADDOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "PARKE",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "662-689-0501"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLIMB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha M Clinton, FNP-BC
• Cockrell Family Medical Center PC
• Jessie Michael Cockrell, MD
• Community Discount Pharmacy Inc (Community Discount Pharmacy)
• Community Discount Pharmacy Inc (Community Discount Pharmacy)
• Compassionate Companions
• Jason Andre Cooper, ATC, PTA
• Cornerstone Rehabilitation of Senatobia Inc
• Covenant Health Solutions of Mississippi
• Tyler Jordan Covington, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.