Organization Active NPI

Tate Enterprises, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, MS
National Provider Identifier
1871088922
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
TATE ENTERPRISES, LLC
Practice address
1105 Laura Ave
Jackson, MS 39209-7008
Phone
(601) 940-8074
NPI assigned
Jun 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Ms. Zenotha Robinson
Title
Ceo
Phone
(601) 940-8074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MS Primary

Addresses

Primary practice location

1105 Laura Ave
Jackson, MS 39209-7008

Mailing address

1021 Meloan Dr
Jackson, MS 39209-7012
Phone (601) 940-8074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1871088922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MELOAN DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392097012",
            "telephone_number": "601-940-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 LAURA AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392097008",
            "telephone_number": "601-940-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TATE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ZENOTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-940-8074",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.