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COMMUNITY DEVELOPMENT INC. NPI 1184767568


NPI Information

NPI: 1184767568
Provider Name: COMMUNITY DEVELOPMENT INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 25D2228925

Address:
200 N FRONT ST
RICHTON, MS
ZIP 39476
Phone: (601) 788-5865
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COMMUNITY DEVELOPMENT INC. is a day training developmentally disabled services in Richton, MS. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. COMMUNITY DEVELOPMENT INC. NPI is 1184767568. The provider is registered as an organization entity type.

The provider's business location address is:

200 N FRONT ST
RICHTON, MS
ZIP 39476-201
Phone: (601) 788-5865
Fax: (601) 788-5722

The provider's authorized official is Oma Faye Hibbler .
The authorized official title is Administrator and has the following contact phone number (601) 788-5865.

The CLIA number assigned to this NPI record is 25D2228925 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10770403MEDICAIDMISSISSIPPI
200770321MEDICAIDMISSISSIPPI
300770364MEDICAIDMISSISSIPPI
400770494MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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