NPIMap

Organization Active NPI

Choices Coordinated Care Solutions, Inc.

  • Case Management Agency
  • Gulfport, MS
National Provider Identifier
1811539158
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHOICES COORDINATED CARE SOLUTIONS, INC.
Practice address
302 Courthouse Rd Ste G
Gulfport, MS 39507-1890
Phone
(318) 464-2561
NPI assigned
Oct 8, 2019
Last updated
Oct 8, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOICES COORDINATED CARE SOLUTIONS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Michael Howard Goldberg
Title
Chief Executive Officer
Phone
(314) 517-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

302 Courthouse Rd Ste G
Gulfport, MS 39507-1890

Mailing address

302 Courthouse Rd Ste G
Gulfport, MS 39507-1890
Phone (318) 464-2561

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inquiry@choicesccs.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Choices Coordinated Care Solutions12 organizations share this tax ID, including this one
Part of
Choices Coordinated Care Solutions

Other organizations with this tax ID 11

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

Locations

302 Courthouse Rd
Ste G
Gulfport, MS 39507
Phone (228) 897-7465

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1811539158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 COURTHOUSE RD STE G",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071890",
            "telephone_number": "318-464-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 COURTHOUSE RD STE G",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071890",
            "telephone_number": "318-464-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES COORDINATED CARE SOLUTIONS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOICES COORDINATED CARE SOLUTIONS, INC.",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "314-517-6005"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inquiry@choicesccs.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "302 Courthouse Rd Ste G",
            "city": "Gulfport",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395071890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.