NPIMap

Organization Active NPI

Sentry-Natchez, Inc.

  • Assisted Living Facility
  • Natchez, MS
National Provider Identifier
1740604263
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
672 Issued in MS
Legal business name
SENTRY-NATCHEZ, INC.
Practice address
311 Highland Blvd
Natchez, MS 39120-4635
Phone
(601) 446-5097
Fax
(601) 442-5930
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Mr. Cameron D Goddard
Title
Ar Manager
Phone
(601) 824-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 672 MS Primary

Addresses

Primary practice location

311 Highland Blvd
Natchez, MS 39120-4635

Mailing address

PO Box 1499
Brandon, MS 39043-1499
Phone (601) 824-9010

Other names 1

  • Magnolia House Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1740604263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1499",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390431499",
            "telephone_number": "601-824-9010",
            "fax_number": "601-824-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204635",
            "telephone_number": "601-446-5097",
            "fax_number": "601-442-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY-NATCHEZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "601-824-9010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.