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CHRISTIAN FELLOWSHIP HOME
NPI 1689933764
Community/Behavioral Health in Wiggins, MS

Active since May 10, 2012
918 PARKWAY DR, WIGGINS, MS 39577(601) 928-1871 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Christian Fellowship Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN FELLOWSHIP HOME (NPI 1689933764) is a healthcare organization registered as a community/behavioral health in Wiggins, Mississippi and active in the NPI registry since May 2012. The organization lists Terrell Berry Boone, Owner, as its authorized official.

NPPES Registry Identity

NPI1689933764
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCHRISTIAN FELLOWSHIP HOME
Location Address918 PARKWAY DRWiggins, MS 39577-8750
Mailing Address918 Parkway DrWiggins, MS 39577-8750 · (601) 928-1871
Phone(601) 928-1871
Organization SubpartNo
Authorized OfficialTerrell Berry BooneOwner · (601) 928-1871
Enumeration DateMay 10, 2012
✔ NPI 1689933764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MS · 1063
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
918 PARKWAY DR, Wiggins, MS 39577
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Other Identifiers 1

Medicaid1063MS

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GSA HOUSING
Non-emergency Medical Transport (VAN)
918 PARKWAY DR
WIGGINS, MS 39577
Stone County (601) 928-4663
PERSONAL CARE HOME OF WIGGINS
Assisted Living Facility (Assisted Living, Mental Illness)
918 PARKWAY DR
WIGGINS, MS 39577
Stone County (601) 928-4663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian Fellowship Home's NPI number?

The NPI number for Christian Fellowship Home is 1689933764. It was assigned to this organization in the NPPES registry on May 10, 2012.

Where is Christian Fellowship Home located?

Christian Fellowship Home is located at 918 Parkway Dr, Wiggins, MS 39577. The listed phone number is (601) 928-1871.

What is Christian Fellowship Home's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Christian Fellowship Home was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.