Organization Active NPI

Christopher'S Personal Care Home, LLC

  • Assisted Living Facility
  • Holly Springs, MS
National Provider Identifier
1598020703
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
871 Issued in MS
Legal business name
CHRISTOPHER'S PERSONAL CARE HOME, LLC
Practice address
885 Highway 178 E
Holly Springs, MS 38635-2641
Phone
(662) 551-1122
Fax
(662) 551-1635
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Ms. Gail M Houck, RN
Title
Owner/Administrator
Phone
(662) 551-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 871 MS Primary

Addresses

Primary practice location

885 Highway 178 E
Holly Springs, MS 38635-2641

Mailing address

885 Highway 178 E
Holly Springs, MS 38635-2641
Phone (662) 551-1122

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1598020703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 HIGHWAY 178 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352641",
            "telephone_number": "662-551-1122",
            "fax_number": "662-551-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HIGHWAY 178 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352641",
            "telephone_number": "662-551-1122",
            "fax_number": "662-551-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER'S PERSONAL CARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "662-551-1122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.