Organization Active NPI

North Ms Regional Center

  • Intellectual Disabilities Intermediate Care Facility
  • Oxford, MS
National Provider Identifier
1922189596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
263 Issued in MS
Legal business name
NORTH MS REGIONAL CENTER
Practice address
967 Regional Center Dr
Oxford, MS 38655-3551
Phone
(662) 234-1476
Fax
(662) 234-1699
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carole B Haney
Title
Director
Phone
(662) 234-1476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 263 MS Primary

Addresses

Primary practice location

967 Regional Center Dr
Oxford, MS 38655-3551

Mailing address

967 Regional Center Dr
Oxford, MS 38655-3551
Phone (662) 234-1476

Other identifiers 1

IdentifierTypeStateIssuer
08200851MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
North Ms Regional Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922189596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 REGIONAL CENTER DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553551",
            "telephone_number": "662-234-1476",
            "fax_number": "662-234-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 REGIONAL CENTER DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386553551",
            "telephone_number": "662-234-1476",
            "fax_number": "662-234-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MS REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-234-1476",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MS",
            "license": "263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08200851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.