STATEWIDE HEALTHCARE SERVICES (NPI# 1962999326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962999326 |
| Entity Type | Organization |
| Organization Name | STATEWIDE HEALTHCARE SERVICES |
| Other Organization Name | OXFORD HEALTHCARE |
| Practice Address |
3828 I 55 N Jackson MS 39211-6324 |
| Mailing Address |
1 N State St Ste 800 Chicago IL 60602-3312 |
| Practice Telephone | 6019827311 |
| Mailing Telephone | 3127954683 |
| Mailing Fax Number | 3127041126 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | MR. LARRY JENSEN (VICE PRESIDENT, OPERATIONS) |
| Authorized Official Telephone | 3127954683 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Oxford Healthcare | Doing Business As Name - Organization |
| Street Address |
3828 I 55 N |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679601645 | Statewide Healthcare Services, Inc | Home Health | 3828 I 55 N, Jackson, MS 39211-6324 | 2007-03-01 |
| 1588175558 | Statewide Healthcare Services, Inc | Home Health | 3828 I 55 N, Jackson, MS 39211-6324 | 2017-10-18 |
| 1699025734 | Statewide Healthcare Services, Inc. | Technician | 3828 I 55 N, Jackson, MS 39211-6324 | 2012-09-17 |
| 1356614416 | Statewide Healthcare Services, Inc | Nursing Care | 3828 I 55 N, Jackson, MS 39211-6324 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768801 | Abc Center for Learning Inc | Community/Behavioral Health | 4939 Ledgerock St, Jackson, MI 49201-8128 | 2020-07-30 |
| 1538703053 | Quest Fitness | Community/Behavioral Health | 1693 Lakeover Rd, Jackson, MS 39213-8015 | 2019-10-29 |
| 1326502535 | V.k. Johnson, Lcsw & Consultants, LLC | Community/Behavioral Health | 2637 Ridgewood Rd Ste De, Jackson, MS 39216-4922 | 2019-01-22 |
| 1215410816 | Feed Your Soul LLC | Community/Behavioral Health | 180 W University Pkwy Ste D, Jackson, TN 38305-1612 | 2018-09-10 |
| 1184103061 | Ymca of Greater Monmouth County | Community/Behavioral Health | 1025 Larsen Rd, Jackson, NJ 08527-1315 | 2018-08-10 |
| 1649759523 | Ymca of Greater Monmouth County | Community/Behavioral Health | 75 W Veterans Hwy, Jackson, NJ 08527-3403 | 2018-08-10 |
| 1558840439 | Ymca of Greater Monmouth County | Community/Behavioral Health | 125 N Hope Chapel Rd, Jackson, NJ 08527-2962 | 2018-08-10 |
| 1417436544 | Ymca of Greater Monmouth County | Community/Behavioral Health | 35 S Hope Chapel Rd, Jackson, NJ 08527-5019 | 2018-08-09 |
| 1568964112 | Apluscare, LLC | Community/Behavioral Health | 613 Atterbury Ct E, Jackson, NJ 08527-3182 | 2018-02-28 |
| 1043722465 | Apluscare, LLC | Community/Behavioral Health | 1012 Atterbury Ct E, Jackson, NJ 08527-3186 | 2017-10-25 |
| 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.