BENTON COUNTY COMMISSION ON AGING AND INDEPENDEN LIVING (NPI# 1104216324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104216324 |
| Entity Type | Organization |
| Organization Name | BENTON COUNTY COMMISSION ON AGING AND INDEPENDEN LIVING |
| Practice Address |
1342 Country Church Rd Lamar MS 38642 |
| Practice Telephone | 9494419900 |
| Mailing Telephone | 9494419900 |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | MR. CARL LATRON ROBINSON (OWNER) |
| Authorized Official Telephone | 9494419900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
1342 COUNTRY CHURCH RD |
| City | LAMAR |
| State | MS |
| Zip Code | 38642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081123 | Bright Horizons Adult Daycare | Clinic/Center | 1342 Country Church Rd, Lamar, MS 38642-9219 | 2017-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790347003 | Angela Denise Dennis | In Home Supportive Care | 2233 Hwy 7, Lamar, MS 38642 | 2019-07-08 |
| 1992357818 | Hearts At Home Senior Care | Homemaker | 2233 Hwy 7, Lamar, MS 38642 | 2019-07-11 |
| 1225572456 | Jasmine Jones | Psychologist | 16056 Boundary Dr, Ashland, MS 38642 | 2016-12-07 |
| 1326356718 | C&s Staffing Services Inc | Case Management | 834 Sparks Farm Rd, Lamar, MS 38642-9261 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887405 | Jackie Rae Hiner | In Home Supportive Care | 121 W Beech St, Lamar, CO 81052-2731 | 2020-10-06 |
| 1952912370 | Tamela Ray Marie Williams | Registered Nurse | 1001 S Main Street, Lamar, CO 81052 | 2020-08-10 |
| 1437768165 | Sunny Jean Lawrence | Registered Nurse | 379 West Dd Highway, Lamar, MO 64759-6475 | 2020-07-28 |
| 1619505534 | Bethany Rice | Occupational Therapy Assistant | 124 Nw 90th Rd, Lamar, MO 64759-8154 | 2020-03-27 |
| 1609407899 | Southeastern Developmental Services, Inc | Case Management | 1104 S 4th St, Lamar, CO 81052-3805 | 2020-01-28 |
| 1437791605 | Southeast Mental Health Services | Clinic/Center | 113 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1801438056 | Southeast Mental Health Services | Clinic/Center | 117 W Elm St, Lamar, CO 81052-2701 | 2019-10-09 |
| 1821649344 | Jacqueline G. Stephens | Nurse Practitioner | 406 S Railroad Ave, Lamar, SC 29069-2906 | 2019-09-25 |
| 1912557513 | Sabra Perdue | Registered Nurse | 1001 S. Main St, Lamar, CO 81052 | 2019-09-16 |
| 1134687676 | Mary Lou Montez | Licensed Practical Nurse | 3501 S. Main St., Lamar, CO 81052 | 2019-03-04 |
| Find all providers in LAMAR | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275587834 | Wes Corporation, Inc. | Clinic/Center | 696 Davis St, Lamar, SC 29069-9132 | 2006-05-19 |
| 1477081123 | Bright Horizons Adult Daycare | Clinic/Center | 1342 Country Church Rd, Lamar, MS 38642-9219 | 2017-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662626 | Hair Rehab | Clinic/Center | 313 Holland St, Anguilla, MS 38721-3872 | 2020-09-04 |
| 1326688185 | Brittney Debose | Clinic/Center | 16016 Lemoyne Blvd Apt 912, Biloxi, MS 39532-5186 | 2020-01-09 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1215575675 | The Abigayle Adult Day Care | Clinic/Center | 205 Industrial Cv, Ridgeland, MS 39157-2715 | 2019-12-17 |
| 1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
| 1083171334 | Beverly Forrest-butts | Clinic/Center | 407 Nw Depot St, Durant, MS 39063-3705 | 2019-02-22 |
| 1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
| 1619431210 | Deborah D Gibbs | Clinic/Center | 1403 S Broadway, Shelby, MS 38774 | 2019-01-28 |
| 1346712023 | Faith and Hope Adult Daycare | Clinic/Center | 737 N State St, Jackson, MS 39202-3006 | 2018-12-19 |
| 1013488923 | Covenant Adult Day Care of Tunica | Clinic/Center | 1041 Highway 61 S Ste 3, Tunica, MS 38676-9130 | 2018-12-17 |
| 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.