Active NPI
Living Independence for Everyone of Mississippi
Doing business as LIFE of Mississippi
- Voluntary or Charitable Agency
- Jackson, MS
National Provider Identifier
1437427135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.