NPIMap

Organization Active NPI

Methodist Children'S Homes

  • Community/Behavioral Health Agency
  • Jackson, MS
National Provider Identifier
1710438577
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
112580905 Issued in MS
Legal business name
METHODIST CHILDREN'S HOMES
Practice address
805 N Flag Chapel Rd
Jackson, MS 39209-2208
Phone
(601) 853-5000
Fax
(601) 853-5010
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Devon Loggins
Title
Chief Operations Officer
Phone
(601) 853-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 112580905 MS Primary

Addresses

Primary practice location

805 N Flag Chapel Rd
Jackson, MS 39209-2208

Mailing address

PO Box 66
Clinton, MS 39060-0066
Phone (601) 853-5000

Other identifiers 1

IdentifierTypeStateIssuer
08784330MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Methodist Children'S Homes4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1710438577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390600066",
            "telephone_number": "601-853-5000",
            "fax_number": "601-853-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N FLAG CHAPEL RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392092208",
            "telephone_number": "601-853-5000",
            "fax_number": "601-853-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST CHILDREN'S HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "LOGGINS",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "601-853-5000"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "112580905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08784330",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.