Latonya Hailes

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

128 Deer Run Rd
Hattiesburg, MS 39402-6205

Phone

(601) 410-5836

NPI assigned

Aug 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tender Touch Adult Day Services

  • Adult Day Care Clinic/Center
  • Laurel, MS
  • NPI 1023487139
  NPD Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487800710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014978",
            "telephone_number": "601-410-5836",
            "fax_number": "888-449-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 DEER RUN RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394026205",
            "telephone_number": "601-410-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILES",
        "first_name": "LATONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-07-21",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02671051",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• H&R Drugstores LLC
• Lauren Haag, CPSS
• Daniel M Habeeb, MD
• George E Habeeb Jr., MD
• Leigh A Haden, MD
• Thomas Eric Hale, MD
• Angela Mae Kathleen Hales, DO
• Hall Health
• Alfred Patrick Hall, HIS
• Bradley T Hall, DO

• Community Health Worker in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Community Health Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.