PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC (NPI# 1346222163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346222163 |
Entity Type | Organization |
Organization Name | PREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC |
Other Organization Name | ROLLING HILLS DEVELOPMENTAL CENTER |
Practice Address |
200 Womack St Starkville MS 39759-2232 |
Mailing Address |
5420 W Plano Pkwy Plano TX 75093-4823 |
Practice Telephone | 6623239183 |
Practice Fax Number | 6623231089 |
Mailing Telephone | 9729313800 |
Mailing Fax Number | 9727676222 |
Enumeration Date | 2005-11-17 |
Last Update Date | 2011-08-04 |
Authorized Official Name | MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Telephone | 9729313800 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 632 | MS | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00220057 | 05 |
Other Name | Type Code |
---|---|
Rolling Hills Developmental Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174505010 | Preferred Care Developmental Centers of Ms I Inc | Intermediate Care Facility, Mentally Retarded | 524 Brookman Dr, Brookhaven, MS 39601-2384 | 2005-11-16 |
1659353688 | Preferred Care Developmental Centers of Ms I Inc | Intermediate Care Facility, Mentally Retarded | 1145 Tisdale Ave, Canton, MS 39046-4965 | 2005-11-16 |
Street Address |
200 WOMACK ST |
City | STARKVILLE |
State | MS |
Zip Code | 39759-2232 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
Find all providers in zip 39759 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578703583 | F Lee Neal Jr Md Pa | Intermediate Care Facility, Mentally Retarded | 717 S Church St, Brookhaven, MS 39601-3811 | 2009-03-03 |
1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
1326068834 | Boswell Regional Center | Intermediate Care Facility, Mentally Retarded | 1049 Simpson Highway 149 South, Magee, MS 39111-0128 | 2006-07-20 |
1033143284 | South Mississippi Regional Center | Intermediate Care Facility, Mentally Retarded | 1170 W Railroad St, Long Beach, MS 39560-4106 | 2006-07-11 |
1174505010 | Preferred Care Developmental Centers of Ms I Inc | Intermediate Care Facility, Mentally Retarded | 524 Brookman Dr, Brookhaven, MS 39601-2384 | 2005-11-16 |
1710969787 | Preferred Care Developmental Centers of Ms I, Inc. | Intermediate Care Facility, Mentally Retarded | 701 Highway 322, Clarksdale, MS 38614-4722 | 2005-11-16 |
1659353688 | Preferred Care Developmental Centers of Ms I Inc | Intermediate Care Facility, Mentally Retarded | 1145 Tisdale Ave, Canton, MS 39046-4965 | 2005-11-16 |
1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
1275901167 | Baptist Homes Inc | Intermediate Care Facility, Mentally Retarded | 461 Goodloe Rd, Canton, MS 39046-9740 | 2015-09-09 |
1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
Find all providers with the same taxonomy |
City | STARKVILLE |
Zip Code | 39759 |
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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.