PILGRIM REST PERSONAL CARE SERVICE (NPI# 1356899579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356899579 |
| Entity Type | Organization |
| Organization Name | PILGRIM REST PERSONAL CARE SERVICE |
| Other Organization Name | PILGRIM REST ADULT DAYCARE |
| Practice Address |
102 Mcwilliams Winstonville MS 38781-0215 |
| Mailing Address |
P. O. Box 125 102 Mcwilliams Winstonville MS 38781-0215 |
| Practice Telephone | 6627412020 |
| Practice Fax Number | 6627412831 |
| Mailing Telephone | 6627412020 |
| Mailing Fax Number | 6627412831 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | JOAN RICHARDSON (ADMINISTRATOR) |
| Authorized Official Telephone | 6627412020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| Pilgrim Rest Adult Daycare | Other Name - Individual/Organization |
| Street Address |
102 MCWILLIAMS |
| City | WINSTONVILLE |
| State | MS |
| Zip Code | 38781-0215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992344550 | Beatrice Collins | Technician | 309 Osley Ave, Winstonville, MS 38781 | 2019-12-31 |
| 1982955811 | Pilgrims Rest Adult Daycare | Community/Behavioral Health | 102 Mcwilliam St, Winstonville, MS 38781 | 2012-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992344550 | Beatrice Collins | Technician | 309 Osley Ave, Winstonville, MS 38781 | 2019-12-31 |
| 1982955811 | Pilgrims Rest Adult Daycare | Community/Behavioral Health | 102 Mcwilliam St, Winstonville, MS 38781 | 2012-10-02 |
| 1689760423 | Cornerstone Personal Care Home | Assisted Living Facility | 102 Mc Williams Street, Winstonville, MS 38981 | 2006-10-05 |
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
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| 1467050237 | Unified Home & Respite Care, LLC | Respite Care | 317 Highland Blvd Ste G, Natchez, MS 39120-4634 | 2020-10-14 |
| 1124636659 | Graceful Serenity LLC | Respite Care | 1440 Dunn Pease Rd, Raymond, MS 39154-8252 | 2020-07-21 |
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1801412838 | Ycsc Gulf Coast Ms, LLC | Respite Care | 770 Water St Ste 428, Biloxi, MS 39530-4220 | 2020-06-25 |
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1912531427 | Magnolia Personal Care LLC | Respite Care | 69 Bo Stampley Rd, Fayette, MS 39069-4879 | 2020-02-24 |
| 1750935714 | La Respite, LLC | Respite Care | 701 Bowie Ln, Greenwood, MS 38930-5935 | 2019-07-29 |
| 1851944524 | Tracey Bernard Scurlock Jr. | Respite Care | 3747 Eureka Rd, Batesville, MS 38606-8064 | 2019-07-22 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1871062521 | Live, Laugh and Love Homecare Services | Respite Care | 604 Highway 80 W Ste Roffice1, Clinton, MS 39056-4108 | 2018-11-23 |
| Find all providers with the same taxonomy | ||||
| City | WINSTONVILLE |
| Zip Code | 38781 |
Please comment or provide details below to improve the information on PILGRIM REST PERSONAL CARE SERVICE.
| 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.