Active NPI
Independent Jobs 1, LLC
- Non-emergency Medical Transport (VAN)
- Picayune, MS
National Provider Identifier
1740854975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- INDEPENDENT JOBS 1, LLC
- Practice address
- 715 S Haugh Ave
Picayune, MS 39466-5470 - Phone
- (769) 926-8969
- NPI assigned
- May 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Daiwana D Certain
- Title
- Owner
- Phone
- (601) 347-2928
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
715 S Haugh Ave
Picayune, MS 39466-5470
Mailing address
715 S Haugh Ave
G 53
Picayune, MS 39466-5470
Phone (769) 926-8969
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | independentjobs1@gmail.com | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Private Vehicle
- Picayune, MS
- NPI 1578261095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1740854975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 S HAUGH AVE",
"address_2": "G 53",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394665470",
"telephone_number": "769-926-8969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S HAUGH AVE",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394665470",
"telephone_number": "769-926-8969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT JOBS 1, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-12",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "CERTAIN",
"authorized_official_first_name": "DAIWANA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-347-2928",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "independentjobs1@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "independentjobs1@gmail.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "713 Charlotte Dr",
"city": "Picayune",
"state": "MS",
"country_code": "US",
"postal_code": "394664903",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.