THE OLIVER HOUSE ADULT DAYCARE (NPI# 1659556371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659556371 |
| Entity Type | Organization |
| Organization Name | THE OLIVER HOUSE ADULT DAYCARE |
| Practice Address |
2008 Highway 51 Wesson MS 39191-9502 |
| Mailing Address |
204 Poplar St Brookhaven MS 39601-2839 |
| Practice Telephone | 6016431533 |
| Practice Fax Number | 6016431534 |
| Mailing Telephone | 6016951701 |
| Mailing Fax Number | 6018334774 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MRS. SHERROLYNN EDWARDS (ADMINISTRATOR) |
| Authorized Official Telephone | 6016951701 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
172A00000X | MS | Nursing & Custodial Care Facilities |
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
376J00000X | MS | Nursing & Custodial Care Facilities |
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
251QA0600X | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01330234 | 05 | |
| MS | 04387341 | 05 | |
| MS | 03037821 | 05 |
| Street Address |
2008 HIGHWAY 51 |
| City | WESSON |
| State | MS |
| Zip Code | 39191-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645888 | Rebecca Lind Schrader | Nurse Practitioner | 3746 Foster Lane Nw, Wesson, MS 39191 | 2019-02-13 |
| 1811496656 | Icare Services, LLC | Respite Care | 1007 Robinson Street, Wesson, MS 39191 | 2018-02-07 |
| 1073064226 | Theavis Cooper Jr. | Specialist/Technologist | 1028 Jc Redd Dr Wesson, Mississippi 39191, Wesson, MS 39191 | 2016-10-21 |
| 1427156108 | Steven Barry Liverman | Family Medicine | 1096 Beech St, Wesson, MS 39191 | 2006-09-20 |
| 1326363029 | Gregory Matthew Mcclain | Specialist/Technologist | 1028 Jc Redd Drive, Wesson, MS 39191-0649 | 2010-04-06 |
| 1548659097 | Copiah Lincoln Community College | Family Medicine | 1028 Jc Redd Dr, Wesson, MS 39191-5020 | 2015-01-21 |
| 1306047972 | Leslie Anne Carty | Dentist | 2076 Highway 51 Ne, Wesson, MS 39191-6859 | 2007-05-30 |
| 1417350323 | Nathaniel Tillman | Licensed Practical Nurse | 2124 John Smith Ln, Wesson, MS 39191-7733 | 2014-10-06 |
| 1427451343 | Yvette Tillman | Nurse's Aide | 2124 John Smith Ln, Wesson, MS 39191-7733 | 2014-10-06 |
| 1881903896 | Susan Renee Moore | Specialist | 9030 Monticello Rd, Wesson, MS 39191-9027 | 2010-09-26 |
| Find all providers in zip 39191 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540428 | Jennifer Lashon May | Custodial Care Facility | 141 Jefferson Street Ste, C, Monticello, MS 39654-3965 | 2019-10-28 |
| 1255866059 | Personal Touch LLC | Custodial Care Facility | 614 Chippewah Dr, Laurel, MS 39443-7413 | 2017-04-29 |
| 1164964003 | Creative Image Personal Care Service LLC | Custodial Care Facility | 503 Highway 82 E, Indianola, MS 38751-2317 | 2016-11-09 |
| 1679943310 | Educare Senior Day Center (vicksburg Branch) | Custodial Care Facility | 3202 Wisconsin Ave, Vicksburg, MS 39180-5351 | 2015-10-06 |
| 1659747988 | Aging Gracefully Community Center | Custodial Care Facility | 16165 Highway 51, Hazlehurst, MS 39083-2002 | 2015-08-20 |
| 1215315528 | Serenityhomecare | Custodial Care Facility | 1512 Clinton Raymond Rd, Clinton, MS 39056-5400 | 2015-05-07 |
| 1356765101 | Healthyland Adult Day Care, LLC | Custodial Care Facility | 227 Pecan Street, Marks, MS 38646 | 2014-02-14 |
| 1164845210 | R S Enterprise | Custodial Care Facility | 532 Burns St, Jackson, MS 39203-3601 | 2014-01-26 |
| 1053746487 | Assurance Home Care Agency LLC | Custodial Care Facility | 1549 Shiloh Church Rd, Newton, MS 39345-9024 | 2013-09-04 |
| 1790119519 | Pressicare, Inc | Custodial Care Facility | 20434 Old Houston Rd, Aberdeen, MS 39730-8548 | 2013-08-28 |
| 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.