Organization Active NPI

Genuine Care

  • Adult Day Care Clinic/Center
  • State Line, MS
National Provider Identifier
1982110136
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GENUINE CARE
Practice address
212 Main Street
State Line, MS 39362
Phone
(601) 410-5836
Fax
(888) 449-9560
NPI assigned
Dec 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

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

Authorized official

Name
Latonya Hailes
Title
Owner
Phone
(601) 410-5836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MS Primary

Addresses

Primary practice location

212 Main Street
State Line, MS 39362

Mailing address

1507 Hardy St Ste 201
Hattiesburg, MS 39401-4978
Phone (601) 410-5836

National Provider Directory

National Provider Directory

Locations

212 Main St
State Line, MS 39362

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1982110136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 HARDY ST STE 201",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014978",
            "telephone_number": "601-410-5836",
            "fax_number": "888-449-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAIN STREET",
            "city": "STATE LINE",
            "state": "MS",
            "postal_code": "39362",
            "telephone_number": "601-410-5836",
            "fax_number": "888-449-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "HAILES",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-410-5836"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State Line, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.