Organization Active NPI

Living Independence for Everyone of Mississippi

Doing business as LIFE of Mississippi

  • Voluntary or Charitable Agency
  • Jackson, MS
National Provider Identifier
1437427135
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
LIVING INDEPENDENCE FOR EVERYONE OF MISSISSIPPI
Doing business as
LIFE of Mississippi
Practice address
1304 Vine St
Jackson, MS 39202-3429
Phone
(601) 969-4009
Fax
(601) 969-1662
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Mrs. Christy G. Dunaway
Title
Executive Director
Phone
(601) 969-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1304 Vine St
Jackson, MS 39202-3429

Mailing address

1304 Vine St
Jackson, MS 39202-3429
Phone (601) 969-4009

Other names 1

  • LIFE of Mississippi Doing business as

National Provider Directory

National Provider Directory

Locations

1304 Vine St
Jackson, MS 39202
Phone (601) 969-4009

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1437427135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 VINE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023429",
            "telephone_number": "601-969-4009",
            "fax_number": "601-969-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 VINE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392023429",
            "telephone_number": "601-969-4009",
            "fax_number": "601-969-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING INDEPENDENCE FOR EVERYONE OF MISSISSIPPI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "DUNAWAY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-969-4009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE of Mississippi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.