Active NPI
Miles Cororation
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Pearl, MS
National Provider Identifier
1649552829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- N/A
- Legal business name
- MILES CORORATION
- Practice address
- 3959 Highway 468 W
Pearl, MS 39208-9001 - Phone
- (601) 824-4865
- Fax
- (601) 824-4865
- NPI assigned
- Sep 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Bates
- Title
- Founder
- Phone
- (601) 826-2249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | N/A | MS | Primary |
Addresses
Primary practice location
3959 Highway 468 W
Pearl, MS 39208-9001
Mailing address
108 Bayshore Dr
Ridgeland, MS 39157-1129
Phone (601) 826-2249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09331-M3000-038 | Other | MS | MS.VOCATIONAL REHAB |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1649552829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BAYSHORE DR",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571129",
"telephone_number": "601-826-2249",
"fax_number": "601-824-4865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 HIGHWAY 468 W",
"city": "PEARL",
"state": "MS",
"postal_code": "392089001",
"telephone_number": "601-824-4865",
"fax_number": "601-824-4865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILES CORORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "601-826-2249",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MS",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS.VOCATIONAL REHAB",
"identifier": "09331-M3000-038",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearl, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.