NPIMap

Organization Active NPI

GHC

  • Respite Care
  • Cleveland, MS
National Provider Identifier
1710200480
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
GHC
Practice address
700 E Sunflower Rd
Cleveland, MS 38732-2726
Phone
(662) 843-0030
Fax
(662) 846-0833
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Charline Brandon
Title
Administrator
Phone
(662) 843-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

700 E Sunflower Rd
Cleveland, MS 38732-2726

Mailing address

PO Box 1888
Cleveland, MS 38732-1888
Phone (662) 843-0030

Other identifiers 1

IdentifierTypeStateIssuer
00185314MedicaidMS

Other names 1

  • Genesis Home Care Link Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesis Home Care Link3 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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1710200480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1888",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321888",
            "telephone_number": "662-843-0030",
            "fax_number": "662-846-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322726",
            "telephone_number": "662-843-0030",
            "fax_number": "662-846-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-843-0030"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00185314",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Home Care Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.