Living Hope; LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LIVING HOPE; LLC

Practice address

1287 Fred Street
Prentiss, MS 39474

Phone

(601) 543-2182

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenya Gatlin

Title

Owner

Phone

(601) 543-2182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1841621885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 W 4TH ST APT 311",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015785",
            "telephone_number": "601-543-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 FRED STREET",
            "city": "PRENTISS",
            "state": "MS",
            "postal_code": "39474",
            "telephone_number": "601-543-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE; LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-543-2182"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory L Jackson, MSW
• Jaishankar Jagadeesan, MD
• Shadonna Johnson, NP
• Ashley Kirby Ware, DNP
• William Lewis, PCMHT
• Shanna Longino
• Carla Magee
• Michele Bryant Mahaffey, FNP
• Kimberly Anne McCloud, MSN, FNP
• Gwendolyn McGill, R.N.

• Assisted Living Facility in Prentiss, MS
• Providers in Prentiss, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.