CMS-1500 Box 24J / 33a • NPI
1336787365
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
171400000X
Licensed & Credentialed Health & Wellness Coach
Box 32 Service Location & ZIP+4
1170 PINE ACRES LN, TERRY, MS, 39170-7628
✓ 9-Digit EDI 837 ZIP+4 (39170-7628)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336787365 (CARING HEARTS OF MISSISSIPPI NONPROFIT OUTREACH) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336787365 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | CARING HEARTS OF MISSISSIPPI NONPROFIT OUTREACH |
| Plain-English Specialty | Licensed & Credentialed Health & Wellness Coach NUCC Code: 171400000X (Health & Wellness Coach) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1170 PINE ACRES LN, TERRY, MS, 39170-7628 |
| Practice Telephone / Fax | Tel: (601) 291-6858 |
| Administrative Mailing Address | 740 FREEDOM RD, CENTURY, FL, 32535-2436 |
| Enumeration & Last Sync | Enumerated: 2019-12-20 | CMS Record Updated: 2021-04-08 |
| Authorized Official | ANGELA COLLINS (Executive Director) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (171400000X)
What Does Taxonomy Code 171400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171400000X translates to:
"Licensed & Credentialed Health & Wellness Coach"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CARING HEARTS OF MISSISSIPPI NONPROFIT OUTREACH)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
332U00000X — Home Delivered MealsPlain English: Licensed & Credentialed Home Delivered Meals | State: N/A | License: Verified | Primary: Secondary |
171400000X — Health & Wellness CoachPlain English: Licensed & Credentialed Health & Wellness Coach | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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