Dogwood Homeplace

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

DOGWOOD HOMEPLACE

Practice address

200 Knight Dr
Saltillo, MS 38866-9182

Phone

(662) 869-7009

Fax

(662) 869-1016

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By 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

Mr. Dennis H. Nooner Jr., M

Title

Manager

Phone

(479) 464-4714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1891979878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2490",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127700",
            "telephone_number": "479-464-4714",
            "fax_number": "479-464-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KNIGHT DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388669182",
            "telephone_number": "662-869-7009",
            "fax_number": "662-869-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD HOMEPLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "NOONER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-464-4714",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creekside Manor Assisted Living, Inc.
• Melissa Hardin Crockett, LPTA
• Carla Davis, LPC
• Hunter Dawson
• Dogwood Family Pharmacy Inc (Dogwood Family Pharmacy)
• Dpti Elite Physical Therapy LLC
• Lindsay Segars Duffie, PT
• Elite Physical Therapy
• Elite Physical Therapy, P.a.
• Embrace Family Psychiatry and Wellness Inc

• Custodial Care Facility in Saltillo, MS
• Providers in Saltillo, MS by specialty
• Custodial Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.