EXTENDED CARE CLINICAL SERVICES LLC (NPI# 1134741945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134741945 |
| Entity Type | Organization |
| Organization Name | EXTENDED CARE CLINICAL SERVICES LLC |
| Practice Address |
101 Mills St Brookhaven MS 39601-2521 |
| Mailing Address |
Po Box 40018 Baton Rouge LA 70835-0018 |
| Practice Telephone | 2259064646 |
| Practice Fax Number | 2257530948 |
| Mailing Telephone | 2259064646 |
| Mailing Fax Number | 2257530948 |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |
| Authorized Official Name | MR. RICHARD THOMAS DASPIT SR. (PRESIDENT) |
| Authorized Official Telephone | 2259064646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Extended Care Clinical Services | Doing Business As Name - Organization |
| Street Address |
101 MILLS ST |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437247780 | Magnolia Healthcare, Inc. | Skilled Nursing Facility | 101 Mills St, Brookhaven, MS 39601-2521 | 2006-10-11 |
| 1639732894 | Holistic Health | Clinic/Center | 101 Mills St, Brookhaven, MS 39601-2521 | 2019-04-15 |
| 1477060218 | Dykes Medical Pllc | Internal Medicine | 101 Mills St, Brookhaven, MS 39601-2521 | 2018-01-02 |
| 1396062675 | Toni Leggett | Occupational Therapist | 101 Mills St, Brookhaven, MS 39601-2521 | 2010-04-27 |
| 1245464544 | Elizabeth Simo | Speech-Language Pathologist | 101 Mills St, Brookhaven, MS 39601-2521 | 2009-05-14 |
| 1063664357 | Ellen Pyeatt | Physical Therapy Assistant | 101 Mills St, Brookhaven, MS 39601-2521 | 2008-10-17 |
| 1548477318 | Stacy Banes | Occupational Therapist | 101 Mills St, Brookhaven, MS 39601-2521 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053786897 | Ramsammy Medical PC | Clinic/Center | 8 Jareds Path, Brookhaven, NY 11719-9437 | 2015-12-04 |
| 1497762256 | Greta Louise Keys | Clinic/Center | 332 E Monticello St, Brookhaven, MS 39601-3430 | 2006-08-02 |
| 1467993352 | Loving Hands Directed Medical Care, Pllc | Clinic/Center | 519 W Monticello St, Suite B, Brookhaven, MS 39601-3209 | 2017-03-13 |
| 1831553163 | Centrespring Md | Clinic/Center | 1401 Dresden Dr Ne, Brookhaven, GA 30319-3579 | 2016-04-13 |
| 1588024251 | Piedmont Medical Associates, LLC | Clinic/Center | 4062 Peachtree Rd Ne, Ste C, Brookhaven, GA 30319-3021 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.