NPIMap

Organization Active NPI

Mississippi Baptist Ministry for Children and Families Inc

  • Peer Specialist
  • Moselle, MS
National Provider Identifier
1649790031
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
MISSISSIPPI BAPTIST MINISTRY FOR CHILDREN AND FAMILIES INC
Practice address
6 David Patterson Rd
Moselle, MS 39459-9439
Phone
(601) 596-3786
NPI assigned
Jun 27, 2017
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mr. Brent F Broome, CDNPI 1144548744
Title
Executive Director
Phone
(601) 596-3786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

6 David Patterson Rd
Moselle, MS 39459-9439

Mailing address

PO Box 334
Moselle, MS 39459-0334
Phone (601) 596-3786

Other names 1

  • Moselle home care Other name

National Provider Directory

National Provider Directory
Tax ID family
Mississippi Baptist Ministry Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1649790031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "MOSELLE",
            "state": "MS",
            "postal_code": "394590334",
            "telephone_number": "601-596-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DAVID PATTERSON RD",
            "city": "MOSELLE",
            "state": "MS",
            "postal_code": "394599439",
            "telephone_number": "601-596-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI BAPTIST MINISTRY FOR CHILDREN AND FAMILIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-596-3786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moselle home care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Moselle home care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Moselle, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.