NPIMap

Organization Active NPI

Warren-Washington-Issaquena-Sharkey-Community Action Agency

  • Adult Day Care Clinic/Center
  • Greenville, MS
National Provider Identifier
1699930610
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
1021647 Issued in MS
Legal business name
WARREN-WASHINGTON-ISSAQUENA-SHARKEY-COMMUNITY ACTION AGENCY
Practice address
436 Mill Rd
Greenville, MS 38701-6239
Phone
(662) 344-1072
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Miss Jean-Marie Hill
Title
Executive Director
Phone
(662) 378-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 1021647 MS Primary

Addresses

Primary practice location

436 Mill Rd
Greenville, MS 38701-6239

Mailing address

1544 Old Leland Rd
Greenville, MS 38701-2656
Phone (662) 378-5857

Other names 1

  • WWISCAA Other name

National Provider Directory

National Provider Directory
Tax ID family
Warren-Washington-Issaquena-Sharkey Community Action Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

436 Mill Rd
Greenville, MS 38701
Phone (662) 344-1072

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1699930610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 OLD LELAND RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387012656",
            "telephone_number": "662-378-5857",
            "fax_number": "662-378-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 MILL RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387016239",
            "telephone_number": "662-344-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN-WASHINGTON-ISSAQUENA-SHARKEY-COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JEAN-MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-378-5857",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": "1021647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WWISCAA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.