JUSTLIKEHOME SUPPORTIVE LIVING LLC (NPI# 1669086591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669086591 |
Entity Type | Organization |
Organization Name | JUSTLIKEHOME SUPPORTIVE LIVING LLC |
Practice Address |
9 County Road 3312 Enterprise MS 39330-9070 |
Practice Telephone | 6012146426 |
Mailing Telephone | 6012146426 |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-11 |
Authorized Official Name | MISS BRITTANY N DAVIS (OWNER/MANAGER) |
Authorized Official Telephone | 6012146426 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
N | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers | ||
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
9 COUNTY ROAD 3312 |
City | ENTERPRISE |
State | MS |
Zip Code | 39330-9070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710051206 | Enterprise Ambulence Service | Ambulance | Hwy 513, Enterprise, MS 39330 | 2006-11-17 |
1679710933 | Keisha L Oliphant | Nurse Practitioner | 9421 Eastside Drive Ext, Newton, MS 39330-0000 | 2009-01-08 |
1750671665 | Anderson Physician Alliance, Inc. | Family Medicine | 83 Old Mill Creek Road, Enterprise, MS 39330-9649 | 2011-04-12 |
1154629178 | Ashley D Gray | Nurse Practitioner | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2011-03-01 |
1992773675 | Charles R. Purdy | Emergency Medicine | 83 Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2006-03-09 |
1356780423 | Anderson Regional Medical Center | Clinic/Center | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2013-06-21 |
1447575394 | Enterprise Pharmacy LLC | Pharmacy | 83 Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2010-04-05 |
1780096586 | Rest Haven | Assisted Living Facility | 686 County Road 370, Enterprise, MS 39330-9727 | 2014-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134727266 | Jessica Lea Hawken | Counselor | 202 Britt Dr, Enterprise, AL 36330-7882 | 2020-10-12 |
1225635196 | Angel's Pond Counseling | Counselor | 208 Searcy St, Enterprise, AL 36330-2739 | 2020-10-05 |
1861007957 | Kerri Lane Griffin | Nurse Practitioner | 1275 James Dr Ste A, Enterprise, AL 36330-2484 | 2020-09-15 |
1093328676 | Mt Therapy LLC | Marriage & Family Therapist | 401 Lake Oliver Dr, Enterprise, AL 36330-1440 | 2020-08-25 |
1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
1093325268 | Keith Aaron Cates | Counselor | 903 W College St, Enterprise, AL 36330-2846 | 2020-08-03 |
1417566860 | Julia Brooke Lowe | Pharmacist | 847 Boll Weivell Circle #112, Enterprise, AL 36330 | 2020-07-30 |
1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
1285250670 | Dylan Reese Mccollough | Nurse Practitioner | 6582 Boll Weevil Cir, Enterprise, AL 36330-9424 | 2020-06-22 |
1952926776 | Mason Buckley Childers | Optometrist | 6020 Boll Weevil Cir, Enterprise, AL 36330-9420 | 2020-06-09 |
Find all providers in ENTERPRISE |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215558747 | Waymaker Enterprises, LLC | Assisted Living Facility | 204 Bradfield Rd, Madison, MS 39110-7035 | 2020-05-06 |
1417508110 | Maxine Delores Harris | Assisted Living Facility | 104 Martin Luther King Blvd, Arcola, MS 38722 | 2019-09-24 |
1548819733 | Snh Omiss Tenant LLC | Assisted Living Facility | 1488 Belk Blvd, Oxford, MS 38655-5356 | 2019-09-10 |
1457900649 | Snh Omiss Tenant LLC | Assisted Living Facility | 108 Clarington Dr, Southaven, MS 38671-5640 | 2019-09-10 |
1972152619 | The Claiborne At Adelaide | Assisted Living Facility | 74 Claiborne Way, Starkville, MS 39759-8544 | 2019-09-05 |
1992369102 | James Wilson | Assisted Living Facility | 15986 W Main St, Louisville, MS 39339-2636 | 2019-04-24 |
1023519766 | The Blake At Oxford | Assisted Living Facility | 110 Ed Perry Blvd, Oxford, MS 38655-3452 | 2018-02-27 |
1194224873 | Barnes Crossing Retirement Community LLC | Assisted Living Facility | 1090 County Road 811, Saltillo, MS 38866-7304 | 2018-02-07 |
1649782202 | Garden Hill Assisted Living | Assisted Living Facility | 2082 Yorkville Rd E, Columbus, MS 39702-9406 | 2017-11-03 |
1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
Find all providers with the same taxonomy |
City | ENTERPRISE |
Zip Code | 39330 |
Please comment or provide details below to improve the information on JUSTLIKEHOME SUPPORTIVE LIVING LLC.
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.