REGION IV (NPI# 1003243965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003243965 |
| Entity Type | Organization |
| Organization Name | REGION IV |
| Practice Address |
120 Randy Hendrix Dr Batesville MS 38606-7664 |
| Practice Telephone | 6625639176 |
| Practice Fax Number | 6625630269 |
| Mailing Telephone | 6625639176 |
| Mailing Fax Number | 6625630269 |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |
| Authorized Official Name | LARA JAMES HAYES (THERAPIST) |
| Authorized Official Telephone | 6625639176 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 1699869537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600808 | Region Iv | Nursing Care | 601 Foote St, Corinth, MS 38834-4834 | 2014-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGION IV AREA AGENCY ON AGING, INC. | 2900 Lakeview Ave, Saint Joseph, MI 49085-2379 |
| System for Award Management (SAM) Entities | REGION IV CHAPTER OF THE VOLUNTARY PROTECTION PROG. PARTICIPANTS ASS'N, INC. | 141 Wood Creek Dr, Martinez, GA 30907-1663 |
| System for Award Management (SAM) Entities | REGION IV DEVELOPMENT | 202 Falls Ave, Twin Falls, ID 83301-5080 |
| System for Award Management (SAM) Entities | REGION IV EDUCATION SERVICE CENTER | 7145 W Tidwell Rd, Houston, TX 77092-2021 |
| System for Award Management (SAM) Entities | REGION IV MENTAL HEALTH | 303 N Madison St, Corinth, MS 38834-5072 |
| Street Address |
120 RANDY HENDRIX DR |
| City | BATESVILLE |
| State | MS |
| Zip Code | 38606-7664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578653218 | Elizabeth J Duncan | Nurse Practitioner | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2006-10-13 |
| 1952762825 | Shenika Hankins | Counselor | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2016-03-18 |
| 1164813572 | Maegan Gentry | Registered Nurse | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2015-02-08 |
| 1932507266 | Audrey Berryhill | Registered Nurse | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2014-12-19 |
| 1740688308 | Timothy Moore | Registered Nurse | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2014-12-15 |
| 1528486701 | Anna Sinclair | Registered Nurse | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2014-04-03 |
| 1588091458 | Region Iv Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-10-08 |
| 1295162972 | Region Iv Mental Health Services | Case Management | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-09-26 |
| 1457796005 | Barbara Bright Bennett | Licensed Practical Nurse | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-05-08 |
| 1356687537 | Amy Senter | Social Worker | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2012-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1386154458 | Lukeither Denise Morgan | Social Worker | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2017-10-03 |
| 1841724820 | Batesville Regional Medical Center, Inc. | Clinic/Center | 255 Medical Center Drive Suite B, Batesville, MS 38606 | 2017-04-17 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1689979528 | L Cooper Lewis | Physical Therapist | 640 Keating Road, Fairfield, Batesville, MS 38606 | 2011-01-25 |
| Find all providers in zip 38606 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588091458 | Region Iv Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833575 | Embracing Hearts Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1018 Emileigh Dr, Summit, MS 39666-4700 | 2020-08-25 |
| 1285157693 | Schylon Smith | Community Based Residential Treatment Facility, Mental Illness | 535 Holt Collier St, Greenville, MS 38701-3846 | 2017-07-18 |
| 1821537259 | Open Arms | Community Based Residential Treatment Facility, Mental Illness | 2907 Glenderry St, Jackson, MS 39212-2722 | 2017-02-17 |
| 1316360449 | Middle Ms Access Corporation | Community Based Residential Treatment Facility, Mental Illness | 620 W Amite St, Jackson, MS 39203-2618 | 2014-01-24 |
| 1467646034 | Baptist Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 461 Goodloe Rd, Canton, MS 39046 | 2007-08-28 |
| 1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
| 1922262708 | Central Mississippi Residential Center | Community Based Residential Treatment Facility, Mental Illness | 701 Northside Drive, Newton, MS 39345-0470 | 2008-07-11 |
| 1780873232 | Mississippi Children's Home Society - Mypac | Community Based Residential Treatment Facility, Mental Illness | 1900 N West St, Jackson, MS 39202-1033 | 2007-10-22 |
| City | BATESVILLE |
| Zip Code | 38606 |
Please comment or provide details below to improve the information on REGION IV.
| 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.