PEC REFERRAL SERVICE INC. (NPI# 1780831032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780831032 |
| Entity Type | Organization |
| Organization Name | PEC REFERRAL SERVICE INC. |
| Practice Address |
2353 South Ridge Center Box 121 Greenville MS 38702-0121 |
| Practice Telephone | 6623346335 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | GWEN HERMAN (OWNER) |
| Authorized Official Telephone | 6623346335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
60609 | MS | Respite Care Facility |
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
60609 | MS | Respite Care Facility |
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
60609 | MS | Respite Care Facility |
| Y | 385H00000X | Respite Care | 60609 | MS | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770569 | 05 |
| Street Address |
2353 SOUTH RIDGE CENTER BOX 121 |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38702-0121 |
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| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
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| City | GREENVILLE |
| Zip Code | 38702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.