REACH ADULT RECREATION SERVICE, LLC (NPI# 1407101256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407101256 |
Entity Type | Organization |
Organization Name | REACH ADULT RECREATION SERVICE, LLC |
Practice Address |
73 Chase Street Byhalia MS 38611 |
Practice Telephone | 6628385555 |
Practice Fax Number | 6628385554 |
Mailing Telephone | 6628385555 |
Mailing Fax Number | 6628385554 |
Enumeration Date | 2012-07-18 |
Last Update Date | 2020-05-15 |
Authorized Official Name | MRS. JOYCE SMITH BOWENS (CEO/LPN) |
Authorized Official Telephone | 6625572222 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07383030 | 05 |
Street Address |
73 CHASE STREET |
City | BYHALIA |
State | MS |
Zip Code | 38611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710498746 | Donica Long | Nurse Practitioner | 12 E. Brunswick St, Byhalia, MS 38611 | 2017-10-17 |
1720369861 | Freds Stores of Tennessee Inc | Pharmacy | 15 East Stonewall Rd., Byhalia, MS 38611 | 2011-09-02 |
1821397944 | Shepherds | Durable Medical Equipment & Medical Supplies | 4379 Cayce Rd, Byhalia, MS 38611 | 2011-03-16 |
1134352172 | Yvonne Ingram Burns | Speech-Language Pathologist | 4212 Highway 309 S, Byhalia, MS 38611 | 2009-08-25 |
1407043987 | Chauntay Yvette Bradley | Family Medicine | 12 E Brunswick St, Byhalia, MS 38611 | 2007-09-28 |
1548300296 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 2922 Church St, Byhalia, MS 38611 | 2007-02-08 |
1558410738 | Northeast Mississippi Health Care, Inc. | Clinic/Center | 12 East Brunswick Ave., Byhalia, MS 38611 | 2007-01-09 |
1982796546 | Byhalia Drug | Pharmacy | 2438 Church St, Byhalia, MS 38611 | 2006-09-29 |
1679577555 | Kathryn Claire Pruitt | Nurse Practitioner | 111 Chase St, Byhalia, MS 38611 | 2005-06-09 |
1700274016 | Chrystal Williams-davis | Nurse Practitioner | 12 E Brunswick St, Byhalia, MS 38611 | 2015-01-08 |
Find all providers in zip 38611 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609410562 | O'keefe Educational Media | Day Training, Developmentally Disabled Services | 700 Pass Rd, Gulfport, MS 39501-6443 | 2019-11-04 |
1033684766 | Wish Health Services | Day Training, Developmentally Disabled Services | 1520 29th Ave Ste 16, Gulfport, MS 39501-2843 | 2018-10-09 |
1215463203 | Delta Care Hope Foundation | Day Training, Developmentally Disabled Services | 408 Highway 82 W, Indianola, MS 38751-2031 | 2017-05-11 |
1235679523 | Doris C. Bridges | Day Training, Developmentally Disabled Services | 3928 Allen Dr, Jackson, MS 39212-5379 | 2017-03-06 |
1366995110 | Senior Services, LLC | Day Training, Developmentally Disabled Services | 21 Northtown Dr, Jackson, MS 39211-3016 | 2016-07-28 |
1225498595 | Sheila Parr | Day Training, Developmentally Disabled Services | 6870 Center St E, Horn Lake, MS 38637-1903 | 2016-03-01 |
1033574413 | New Beginnings Adult Daycare 2 LLC | Day Training, Developmentally Disabled Services | 235 69th Ave, Meridian, MS 39307-5671 | 2015-12-29 |
1891150074 | Rem Mississippi | Day Training, Developmentally Disabled Services | 250 Katherine Dr, Flowood, MS 39232-8801 | 2015-12-15 |
1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
1215305909 | Mississippi Christian Family Services Inc | Day Training, Developmentally Disabled Services | 117 Delta St, Rolling Fork, MS 39159-2266 | 2015-09-11 |
Find all providers with the same taxonomy |
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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.