Organization Active NPI

Common Care Homes LLC

  • Community/Behavioral Health Agency
  • Flowood, MS
National Provider Identifier
1861131831
Registry record updated May 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMON CARE HOMES LLC
Practice address
625 Lakeland East Dr Ste E
Flowood, MS 39232-8817
Phone
(832) 492-8311
NPI assigned
May 30, 2022
Last updated
May 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMON CARE HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2022

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

Authorized official

Name
Jeremy Steele, DR.
Title
Ceo
Phone
(832) 492-8311

Specialties & licenses 1

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

Addresses

Primary practice location

625 Lakeland East Dr Ste E
Flowood, MS 39232-8817

Mailing address

5328 Hartsdale Dr
Jackson, MS 39211-4001
Phone (832) 492-8311

Other identifiers 1

IdentifierTypeStateIssuer
08329532MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Common Care Homes LLC2 organizations share this tax ID, including this one
Part of
Common Care Homes LLC

Other organizations with this tax ID 1

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

Locations

625 Lakeland East Dr
Ste E
Flowood, MS 39232
Phone (832) 492-8311

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1653868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1861131831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5328 HARTSDALE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392114001",
            "telephone_number": "832-492-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LAKELAND EAST DR STE E",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328817",
            "telephone_number": "832-492-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON CARE HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMON CARE HOMES LLC",
        "enumeration_date": "2022-05-30",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-492-8311",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08329532",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; 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.