Take1Tohelp1

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

TAKE1TOHELP1

Practice address

806 Maxwell Dr Apt 3
Hattiesburg, MS 39401-1128

Phone

(601) 606-9472

NPI assigned

May 16, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Javon N Brooks

Title

Supervisor

Phone

(601) 606-9472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1619313616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 MAXWELL DR APT 3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011128",
            "telephone_number": "601-606-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MAXWELL DR APT 3",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011128",
            "telephone_number": "601-606-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE1TOHELP1",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JAVON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "601-606-9472",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.