MISSISSIPPI HEALTH SERVICES, LLC (NPI# 1912383779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912383779 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI HEALTH SERVICES, LLC |
| Practice Address |
100 W Amite St Jackson MS 39201-1203 |
| Practice Telephone | 9193588634 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | DIONNE HARRISON (PRESIDENT) |
| Authorized Official Telephone | 9193588634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
100 W AMITE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39201-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647221 | Mississippi Care, LLC | Community/Behavioral Health | 100 W Amite St, Jackson, MS 39201-1203 | 2018-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
| 1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
| 1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
| 1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
| 1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
| 1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| 1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
| 1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| Find all providers in zip 39201 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922650365 | Enable Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12 Thompson Bridge Rd, Jackson, NJ 08527-4618 | 2019-07-16 |
| 1053742684 | Building Futures, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 Mcdowell Park Cir, Jackson, MS 39204-4317 | 2013-12-08 |
| 1225366313 | Genesis Homes of Jackson Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6853 Hague Ave, Jackson, MI 49201-8334 | 2009-11-30 |
| 1831347038 | Buckeye Community Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 W South St, Jackson, OH 45640-1504 | 2008-09-03 |
| 1760668198 | Residential Loving Care Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2924 Bryantown Road, 105 West Main Street, Ahoskie, Nc 27910, Jackson, NC 27845-0000 | 2008-01-16 |
| 1841312543 | Catholic Charities, Diocese of Metuchen | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 384 Vath St, Jackson, NJ 08527-5216 | 2007-04-04 |
| 1316085558 | Christ Centered Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 327 W Monroe St, Jackson, MI 49202-2253 | 2007-02-01 |
| 1164569802 | Pdhcrc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 17th St, Jackson, MI 49203-1403 | 2007-01-31 |
| 1184778805 | Twin Maples | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Robinson Rd, Jackson, MI 49203-1053 | 2007-01-22 |
| 1497314017 | The Arc of Clarke County, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 501 Forest Ave, Jackson, AL 36545-3623 | 2019-06-07 |
| Find all providers in JACKSON | ||||
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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.