SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME


Address: 411 Naples Rd, Jackson, MS 39206-5918
Phone: 6013982974

SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME (NPI# 1386916864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386916864
Entity Type Organization
Organization Name SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME
Practice Address 411 Naples Rd
Jackson
MS 39206-5918
Practice Telephone 6013982974
Practice Fax Number 6014876227
Mailing Telephone 6013982974
Mailing Fax Number 6014876227
Enumeration Date 2012-01-31
Last Update Date 2012-01-31
Authorized Official Name MRS. ANGELA LAMBERT WRIGHT (SOCIAL WORKER/FOUNDER)
Authorized Official Telephone 6014546419
Authorized Official Credential BSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children CYS-SOL-TGH-02 MS Residential Treatment Facilities

Office Location

Street Address 411 NAPLES RD
City JACKSON
State MS
Zip Code 39206-5918

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
Find all providers in zip 39206

Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558770842 Therapeutic Alternatives Residential Treatment Facility, Emotionally Disturbed Children 593 Sergey Rd, Jackson, NJ 08527-4705 2014-08-12
1114291929 Positive Living, Inc. Residential Treatment Facility, Emotionally Disturbed Children 3811 W Northside Dr, Jackson, MS 39209-2560 2012-02-27
1568766905 Saint Joshuas Therapeutic Group Home Inc Residential Treatment Facility, Emotionally Disturbed Children 3409 N State St, Jackson, MS 39216-3136 2010-12-28
1588973309 Lamont Ingram Developmental Organization Residential Treatment Facility, Emotionally Disturbed Children 437 Riverside Dr, Jackson, TN 38301-5720 2010-09-28
1720123706 Highfields Residential Treatment Facility, Emotionally Disturbed Children 1206 Clinton Rd, Jackson, MI 49202-2005 2007-02-20
1710366273 Mississippi Children's Home Society Residential Treatment Facility, Emotionally Disturbed Children 1465 Lakeland Dr, Jackson, MS 39216-4719 2015-05-29
1770901688 Methodist Children's Homes Residential Treatment Facility, Emotionally Disturbed Children 805 N Flag Chapel Rd, Jackson, MS 39209-2208 2014-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184077364 Pine Vale Children's Home Residential Treatment Facility, Emotionally Disturbed Children 1872 County Road 700, Corinth, MS 38834-8734 2016-07-22
1306292149 Rehabilitation Centers LLC Residential Treatment Facility, Emotionally Disturbed Children 900 1st Ave Ne, Magee, MS 39111-3255 2016-05-11
1225324510 Pine Vale Inc Residential Treatment Facility, Emotionally Disturbed Children 1872 County Road 700, Corinth, MS 38834-8734 2011-06-24

Competitor

Search similar providers

City JACKSON
Zip Code 39206

Improve Information

Please comment or provide details below to improve the information on SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME.

Dataset Information

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.

Trending Searches