Organization Active NPI

Miles Cororation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Pearl, MS
National Provider Identifier
1649552829
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
N/A Issued in MS
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

Updated by the provider on Sep 14, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09331-M3000-038OtherMSMS.VOCATIONAL REHAB

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.