Active NPI
Crown Health & Rehab of Natchez, LLC
- Occupational Therapist
- Natchez, MS
National Provider Identifier
1619206463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- CROWN HEALTH & REHAB OF NATCHEZ, LLC
- Practice address
- 344 Arlington Ave
Natchez, MS 39120-3551 - Phone
- (601) 443-2344
- Fax
- (601) 443-9862
- NPI assigned
- Dec 8, 2009
- Organization subpart
- Yes
- Parent organization
- COVENANT DOVE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher J Murphy
- Title
- Vice President
- Phone
- (901) 937-7994
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
344 Arlington Ave
Natchez, MS 39120-3551
Mailing address
344 Arlington Ave
Natchez, MS 39120-3551
Phone (601) 443-2344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06425794 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334188800000",
"number": "1619206463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 ARLINGTON AVE",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391203551",
"telephone_number": "601-443-2344",
"fax_number": "601-443-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 ARLINGTON AVE",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391203551",
"telephone_number": "601-443-2344",
"fax_number": "601-443-9862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWN HEALTH & REHAB OF NATCHEZ, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COVENANT DOVE, LLC",
"enumeration_date": "2009-12-08",
"last_updated": "2012-04-12",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "901-937-7994"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06425794",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.