METHODIST CHILDREN'S HOMES (NPI# 1770901688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770901688 |
| Entity Type | Organization |
| Organization Name | METHODIST CHILDREN'S HOMES |
| Practice Address |
805 N Flag Chapel Rd Jackson MS 39209-2208 |
| Practice Telephone | 6018535000 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | MR. DEVON LOGGINS (VICE PRESIDENT OF PROGRAMS) |
| Authorized Official Telephone | 6018535000 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MS | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03078895 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710438577 | Methodist Children's Homes | Community/Behavioral Health | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2016-10-17 |
| 1386014942 | Methodist Children's Homes | Community/Behavioral Health | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2015-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | METHODIST CHILDREN'S HOMES OF MISSISSIPPI | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 |
| Street Address |
805 N FLAG CHAPEL RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39209-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891003026 | United Methodist Ministry With Children and Families, Inc. | Foster Care Agency | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2010-09-22 |
| 1710438577 | Methodist Children's Homes | Community/Behavioral Health | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2016-10-17 |
| 1114475886 | Jacqueline Loggins | Social Worker | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2016-09-12 |
| 1386014942 | Methodist Children's Homes | Community/Behavioral Health | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2015-09-25 |
| 1730577271 | Devon Loggins | Social Worker | 805 N Flag Chapel Rd, Jackson, MS 39209-2208 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754995 | Oak Street Health Physicians Group of Mississippi, LLC | Family Medicine | 911 Ellis Ave, Jackson, MS 39209 | 2020-06-09 |
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1720468911 | Genoa Healthcare, LLC | Pharmacy | 3450 Highway 80 W Rm 68, Jackson, MS 39209 | 2015-06-03 |
| 1013302082 | Tiffany Griffin | Nurse Practitioner | 3450 Highway 80 West, Jackson, MS 39209 | 2015-04-06 |
| 1679961957 | Cassetta Shontae Mcgee | Emergency Medical Technician, Basic | 5326 Queen Eleanor Ln, Jackson, MS 39209 | 2015-01-08 |
| 1124381280 | Martin Solution | In Home Supportive Care | 917 West Ridge, Jackson, MS 39209 | 2012-06-22 |
| 1649533589 | Adrinnie M Martin | Contractor | 917 Westridge, Jackson, MS 39209 | 2012-06-15 |
| 1831423862 | Infinity House, Inc | In Home Supportive Care | 1042 Pecan Park Circle, Jackson, MS 39209 | 2009-09-23 |
| 1174751093 | Linda M Vance | Nurse Practitioner | 1000 Metrocenter Ste 105, Jackson, MS 39209 | 2009-06-30 |
| 1770729998 | Kim Hestle | Speech-Language Pathologist | 733 N. Flag Chapel Road, Jackson, MS 39209 | 2008-12-17 |
| Find all providers in zip 39209 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| 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. |
| 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 |
| 1386916864 | Savior of Life Therapeutic Residential Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 411 Naples Rd, Jackson, MS 39206-5918 | 2012-01-31 |
| 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 |
| 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 |
Please comment or provide details below to improve the information on METHODIST CHILDREN'S HOMES.
| 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.