PEACE WELLNESS MOBILE UNIT (NPI# 1831460591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831460591 |
| Entity Type | Organization |
| Organization Name | PEACE WELLNESS MOBILE UNIT |
| Practice Address |
638 Northwest Ave Durant MS 39063-3337 |
| Mailing Address |
Po Box 93 Vaiden MS 39176-0093 |
| Practice Telephone | 6018427107 |
| Practice Fax Number | 8005177659 |
| Mailing Telephone | 6018427107 |
| Mailing Fax Number | 8005177659 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | MRS. PAMELA JARRETT (CEO) |
| Authorized Official Telephone | 6018427107 |
| Authorized Official Credential | FNP,BC |
| Is Organization Subpart | Y |
| Parent Organization Name | PEACE WELLNESS CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | 983935 | MS | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770019036 | Peace Wellness Mobile Unit | Nursing Facility/Intermediate Care Facility | 502 Mulberry St, Rear Bldg, Vaiden, MS 39176-9648 | 2017-05-05 |
| Street Address |
638 NORTHWEST AVE |
| City | DURANT |
| State | MS |
| Zip Code | 39063-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124100813 | Durant Primary Care Clinic | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2006-10-20 |
| 1306111984 | Peace Wellness Center, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2012-03-15 |
| 1285930495 | Patients Choice Medical Center of Humphreys County, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2011-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433459 | S&m Medical Clinic | Clinic/Center | 403 Northwest Depot Street, Durant, MS 39063 | 2017-05-03 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1922317262 | James Myers Ferguson | Pharmacist | 33674 Hw 12, Durant, MS 39063 | 2010-10-05 |
| 1497073191 | Durant Public School District | Local Education Agency (LEA) | 65 West Madison Street, Durant, MS 39063 | 2010-05-06 |
| 1902923527 | Mallory Community Health | Clinic/Center | 33795 Highway 12 East, Durant, MS 39063 | 2007-03-26 |
| 1952333999 | Freds Stores of Tennessee Inc | Pharmacy | 33674 Highway 12, Durant, MS 39063-2602 | 2006-07-07 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1295810901 | Holmes County Long Term Care Center - Durant | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2006-10-25 |
| 1134420284 | Durant Healthcare LLC | Skilled Nursing Facility | 15481 Bowling Green Rd, Durant, MS 39063-3565 | 2010-11-05 |
| Find all providers in zip 39063 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904704 | Henderson Ward Stewart Elementary | Early Intervention Provider Agency | 200a Martin Luther King Jr Dr W, Starkville, MS 39759-2890 | 2016-11-04 |
| 1609240621 | Creative Occupational Therapy Soultions1074212 | Early Intervention Provider Agency | 103 Peninsula Dr, Leland, MS 38756-3019 | 2015-11-16 |
| 1962894014 | Lagrand Elliott | Early Intervention Provider Agency | 107 Meadow Pointe Cv, Brandon, MS 39042-5014 | 2015-02-26 |
| 1063754083 | Midsouth Therapy Solutions | Early Intervention Provider Agency | 3130 Mcingvale Rd, Hernando, MS 38632-8795 | 2013-03-18 |
| 1952693848 | Mid Jackson Family Health Clinic | Early Intervention Provider Agency | 514 E Woodrow Wilson Ave # C, Jackson, MS 39216-4538 | 2011-05-10 |
| 1982902797 | Dra Health Services LLC | Early Intervention Provider Agency | 248 Woodland Brook Dr, Madison, MS 39110 | 2011-03-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1518128925 | Ability LLC | Early Intervention Provider Agency | 285 Holmes Pittman Rd, Foxworth, MS 39483-3166 | 2008-06-18 |
| 1568644383 | Superior Home Care | Early Intervention Provider Agency | 130 County Road 2700, Shubuta, MS 39360-8600 | 2007-12-04 |
| 1578751723 | Mississippi Families for Kids | Early Intervention Provider Agency | 620 N State St, 304, Jackson, MS 39202-3305 | 2007-10-11 |
| 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.