EKHAYA, LLC (NPI# 1679972715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679972715 |
| Entity Type | Organization |
| Organization Name | EKHAYA, LLC |
| Other Organization Name | MS EKHAYA |
| Practice Address |
2214 25th Ave Unit 101 Gulfport MS 39501-4520 |
| Mailing Address |
2214 25th Ave Unit 1 Gulfport MS 39501-4520 |
| Practice Telephone | 5048584673 |
| Mailing Telephone | 5048584673 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | DARRIN LEON HARRIS (CEO) |
| Authorized Official Telephone | 5048584673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| MS Ekhaya | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EKHAYA, LLC | C/o The Wm. M. Hotchkiss Company, P.o. Box 801, New Haven, CT 06511 |
| Street Address |
2214 25TH AVE UNIT 101 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043634975 | Darrin Harris | Counselor | 2214 25th Ave, Unit 1, Gulfport, MS 39501-4520 | 2014-02-12 |
| 1336532852 | Edward Sean Mcquilling | Social Worker | 2214 25th Ave, Ste 4, Gulfport, MS 39501-4520 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1003350471 | New Hope Family Services, Inc | Community/Behavioral Health | 3610 12th Ave, Gulfport, MS 39501-7136 | 2016-12-05 |
| 1275938763 | Ability Club Corporation | Community/Behavioral Health | 11551 Pine Dr, Gulfport, MS 39503-3998 | 2014-10-27 |
| 1962995860 | Gulf Coast Mental Health Center | Community/Behavioral Health | 15094 County Barn Road, Gulfport, MS 39503 | 2018-06-14 |
| 1467956037 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-20 |
| 1821591728 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-16 |
| 1649773540 | Gulf Coast Mental Health Center | Community/Behavioral Health | 1600 Broad Avenue, Gulfport, MS 39501-3603 | 2018-03-16 |
| 1225560410 | Gulf Coast Play Therapy Clinic, LLC | Community/Behavioral Health | 370 Courthouse Rd Ste 102, Gulfport, MS 39507-1889 | 2017-03-28 |
| 1780115808 | Rivers Psychotherapy Services, LLC | Community/Behavioral Health | 411 Security Sq, Gulfport, MS 39507 | 2017-03-21 |
| 1639395197 | Awakenings, Pa | Community/Behavioral Health | 12231 Ashley Dr, Suite C, Gulfport, MS 39503-2775 | 2007-04-17 |
| Find all providers in GULFPORT | ||||
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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.