NORTHEAST COMMUNITY SERVICES (NPI# 1871131342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871131342 |
| Entity Type | Organization |
| Organization Name | NORTHEAST COMMUNITY SERVICES |
| Practice Address |
2847 Highway 178 Tupelo MS 38804-9606 |
| Mailing Address |
126 Caitlyn Dr Saltillo MS 38866-8102 |
| Practice Telephone | 6623229963 |
| Practice Fax Number | 6628427972 |
| Mailing Telephone | 6623229963 |
| Mailing Fax Number | 6628427972 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | CONNIE R SADLER (ADMINISTRATOR) |
| Authorized Official Telephone | 6623229963 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
2847 HIGHWAY 178 |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-9606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932589249 | Johnny Sadler | Contractor | 2847 Highway 178, Tupelo, MS 38804-9606 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| 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 |
|---|---|---|---|---|
| 1750697561 | Hannahouse Adult Daycare | Day Training, Developmentally Disabled Services | 217 E Franklin St, Tupelo, MS 38804-4007 | 2010-08-31 |
| 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.