NPIMap

Organization Active NPI

Baptist Homes Inc

  • Day Training/Habilitation Specialist
  • Canton, MS
National Provider Identifier
1467705277
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
SV-BIDD-SVLS-01 Issued in MS
Legal business name
BAPTIST HOMES INC
Practice address
461 Goodloe Rd
Canton, MS 39046-9740
Phone
(601) 859-2100
Fax
(601) 859-2105
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
William McCormack
Title
Executive Director
Phone
(601) 859-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X SV-BIDD-SVLS-01 MS Primary

Addresses

Primary practice location

461 Goodloe Rd
Canton, MS 39046-9740

Mailing address

PO Box 406
Canton, MS 39046-0406

Other identifiers 1

IdentifierTypeStateIssuer
01275306MedicaidMS

Other names 1

  • SON Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baptist Homes Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1467705277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 GOODLOE RD",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390469740",
            "telephone_number": "601-859-2100",
            "fax_number": "601-859-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-859-2100"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MS",
            "license": "SV-BIDD-SVLS-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275306",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SON Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.