JAQUITH NURSING HOME - ADAMS INN (NPI# 1144306358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144306358 |
| Entity Type | Organization |
| Organization Name | JAQUITH NURSING HOME - ADAMS INN |
| Other Organization Name | JAQUITH NURSING HOME - ADAMS INN |
| Practice Address |
3550 Hwy 468 West Whitfield MS 39193-0157 |
| Mailing Address |
P.o. Box 1 Fiscal Services 3550 Hwy 468 West Whitfield MS 39193-0157 |
| Practice Telephone | 6013518000 |
| Practice Fax Number | 6013518586 |
| Mailing Telephone | 6013518000 |
| Mailing Fax Number | 6013518586 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2017-06-02 |
| Authorized Official Name | MR. JAMES G CHASTAIN (DIRECTOR) |
| Authorized Official Telephone | 6013518000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MISSISSIPPI STATE HOSPITAL AT WHITFIELD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 944 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00230126 | 05 |
| Other Name | Type Code |
|---|---|
| Jaquith Nursing Home - Adams Inn | Other Name - Individual/Organization |
| Street Address |
3550 HWY 468 WEST |
| City | WHITFIELD |
| State | MS |
| Zip Code | 39193-0157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497788715 | Mississippi State Hospital At Whitfield | Psychiatry & Neurology | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-07-09 |
| 1003107194 | Karen Marie Whitney | Family Medicine | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2011-04-25 |
| 1205048287 | Sarah H Marshall | Nurse Practitioner | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2007-05-04 |
| 1467573543 | Mississippi State Hospital At Whitfield | Psychiatric Hospital | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2007-04-03 |
| 1770668519 | Jaquith Nursing Home - Jefferson Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-26 |
| 1336229871 | Jaquith Nursing Home - Madison Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-17 |
| 1821178369 | Jaquith Nursing Home - Jaquith Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-17 |
| 1508954082 | Jaquith Nursing Home - Monroe Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-10 |
| 1568557320 | Mississippi State Hospital At Whitfield | Dentist | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-04 |
| 1477648236 | Mississippi State Hospital At Whitfield | Psychiatric Hospital | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487150116 | Juletta Chisholm | Nurse Practitioner | 100 Hudspeth Center Dr, Whitfield, MS 39193 | 2018-04-02 |
| 1295014744 | Shazia Mulkana Frothingham | Psychologist | Building 51/psychological Services, Mississippi State Hospital, Whitfield, MS 39193 | 2011-08-15 |
| 1699803395 | Walter Robert Jones Jr. | Psychiatric Unit | Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 | 2007-03-02 |
| 1750448718 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | Highway 475 South, Whitfield, MS 39193 | 2007-01-02 |
| 1447315411 | Hudspeth Center Pharmacy | Pharmacy | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2006-12-27 |
| 1598750135 | Mississippi State Hospital | Pharmacy | 3550 Highway 468 W, Whitfield, MS 39193 | 2005-09-20 |
| 1346234184 | Hudspeth Center Pharmacy | Intermediate Care Facility, Mentally Retarded | Highway 475, Whitfield, MS 39193 | 2005-09-08 |
| 1598256018 | Katherine Willoughby Carter | Occupational Therapist | 157 Building #27, Whitfield, MS 39193 | 2018-05-21 |
| 1316377633 | Hudspeth Regional Center | Intermediate Care Facility, Mentally Retarded | 100 Hudspeth Center Drive, Whitfield, MS 39193 | 2013-11-22 |
| 1114210630 | Hudspeth Regional Center | Dentist | Highway 475 South, Whitfield, MS 39193 | 2011-05-17 |
| Find all providers in zip 39193 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770668519 | Jaquith Nursing Home - Jefferson Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-26 |
| 1336229871 | Jaquith Nursing Home - Madison Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-17 |
| 1821178369 | Jaquith Nursing Home - Jaquith Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-17 |
| 1508954082 | Jaquith Nursing Home - Monroe Inn | Nursing Facility/Intermediate Care Facility | 3550 Hwy 468 West, Whitfield, MS 39193-0157 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842641 | Crossroads Adult Day Care | Nursing Facility/Intermediate Care Facility | 519 S Church St, Brookhaven, MS 39601-3807 | 2015-01-27 |
| 1699108860 | Holistic Geriatric Care LLC | Nursing Facility/Intermediate Care Facility | 10026 Lizelia Rd, Meridian, MS 39305-9595 | 2013-08-12 |
| 1538492111 | Iva Ward LLC | Nursing Facility/Intermediate Care Facility | 711 Melrose Montebello Pkwy, Natchez, MS 39120-4924 | 2009-09-14 |
| 1295961969 | River Oaks Management, LLC | Nursing Facility/Intermediate Care Facility | 501 Highway 80 E, Brandon, MS 39042-3257 | 2009-06-08 |
| 1063697340 | North Bolivar School District | Nursing Facility/Intermediate Care Facility | 615 School Street, Duncan, MS 38740 | 2008-01-04 |
| 1659555761 | Tallahatchie General Hospital and Extended Care Facility | Nursing Facility/Intermediate Care Facility | 201 South Market Street, Charleston, MS 38921 | 2007-12-26 |
| 1568683498 | Whitfield Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 2101 Proper St, Corinth, MS 38834-5247 | 2007-05-01 |
| 1265656391 | Gilberto Patino | Nursing Facility/Intermediate Care Facility | 419 Elizabeth Drive, Leakesville, MS 39451 | 2007-04-12 |
| 1013048453 | Bruce Nursing Center, Inc. | Nursing Facility/Intermediate Care Facility | 176 Hwy 9 South, Bruce, MS 38915 | 2007-03-08 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
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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.