Organization Active NPI

Confident Living LLC

  • Rehabilitation Practitioner
  • Olive Branch, MS
National Provider Identifier
1629904495
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
CONFIDENT LIVING LLC
Practice address
6521 Blue Bird LN
Olive Branch, MS 38654-9624
Phone
(601) 291-7587
NPI assigned
Jun 19, 2026
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Kevin Smith, OT
Title
Owner
Phone
(601) 291-7587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

6521 Blue Bird LN
Olive Branch, MS 38654-9624

Mailing address

6521 Blue Bird LN
Olive Branch, MS 38654-9624
Phone (601) 291-7587

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1629904495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 BLUE BIRD LN",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549624",
            "telephone_number": "601-291-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 BLUE BIRD LN",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549624",
            "telephone_number": "601-291-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-291-7587",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olive Branch, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.