NORTHSIDE HAVEN ASSOCIATION, INC. (NPI# 1063530467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063530467 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE HAVEN ASSOCIATION, INC. |
| Other Organization Name | MISS BERNICE'S HOUSE |
| Practice Address |
50 Patton Place Rd Lexington MS 39095-5851 |
| Practice Telephone | 6628343344 |
| Practice Fax Number | 6628343314 |
| Mailing Telephone | 6628343344 |
| Mailing Fax Number | 6628343314 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | MRS. ZELPHA MONTGOMERY WHATLEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6628343344 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 992 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09350005 | 05 |
| Other Name | Type Code |
|---|---|
| Miss Bernice's House | Doing Business As Name - Organization |
| Street Address |
50 PATTON PLACE RD |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1508415787 | Snh Derby Tenant LLC | Assisted Living Facility | 690 Mason Headley Rd, Lexington, KY 40504-2384 | 2019-09-10 |
| 1508157181 | Plum Creek Care Center, Inc. | Assisted Living Facility | 1507 N Adams St, Lexington, NE 68850-1243 | 2011-04-29 |
| 1104135169 | Monarch | Assisted Living Facility | 600 Price Rd, Lexington, NC 27295-1304 | 2010-09-24 |
| 1114258803 | Peoples Residential Care, LLC | Assisted Living Facility | 120 Addy Ln, Lexington, SC 29072-3405 | 2010-01-20 |
| 1518173830 | Bristol Care, Inc. | Assisted Living Facility | 2615 Main St, Lexington, MO 64067-1974 | 2007-05-15 |
| 1083734297 | Youville Place, Inc | Assisted Living Facility | 10 Pelham Rd, Suite 2000, Lexington, MA 02421-8400 | 2007-03-30 |
| 1871610659 | Lexington Senior Living LLC | Assisted Living Facility | 1811 Ridgeway Dr, Lexington, NE 68850-1188 | 2007-03-25 |
| 1952434318 | Brookstone Retirement Ctr.,llc. | Assisted Living Facility | 2968 Old Salisbury Rd, Lexington, NC 27295-7293 | 2007-03-14 |
| 1568527554 | Southern Assisted Living, LLC. | Assisted Living Facility | 161 Young Dr, Lexington, NC 27292-4435 | 2006-12-27 |
| 1477649283 | Southland Homes, Inc | Assisted Living Facility | 294 Old Nc Highway 109, Lexington, NC 27292-9401 | 2006-10-05 |
| Find all providers in LEXINGTON | ||||
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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.