Active NPI
Genuine Care
- Adult Day Care Clinic/Center
- State Line, MS
National Provider Identifier
1982110136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.