R S ENTERPRISE (NPI# 1164845210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164845210 |
| Entity Type | Organization |
| Organization Name | R S ENTERPRISE |
| Practice Address |
532 Burns St Jackson MS 39203-3601 |
| Practice Telephone | 6019607426 |
| Practice Fax Number | 6019607426 |
| Mailing Telephone | 6019607426 |
| Mailing Fax Number | 6019607426 |
| Enumeration Date | 2014-01-26 |
| Last Update Date | 2014-01-26 |
| Authorized Official Name | MR. ROBERT EARL SILAS (OWNER) |
| Authorized Official Telephone | 6019607426 |
| Authorized Official Credential | N/A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
311ZA0620X | MS | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | R S ENTERPRISE INC. | 3850 Mystic Valley Parkway, Unit W123, Medford, MA 02155 |
| System for Award Management (SAM) Entities | R S ENTERPRISES | A4/324, Paschim Vihar,, Dda Flats, New Delhi, DELHI 110063, IND |
| Iowa Business Entities | R S ENTERPRISES, INC. | 2026 B Ave, Victor, IA 52347 |
| Indiana Business Entities | R S ENTERPRISES, INC. | 22775 Heslip, Novi, MI 48375 |
| Street Address |
532 BURNS ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39203-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743162 | Shymeka Bolden | Home Health | 405 Dewitt Ave, Jackson, MS 39203 | 2020-09-08 |
| 1083027544 | Debra Williams | Counselor | 514 West Fortification Ave, Jackson, MS 39203 | 2014-06-03 |
| 1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
| 1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
| 1710022959 | Jackson Public Schools Dba Galloway Clinic | Registered Nurse | 186 Idlewild St, Jackson, MS 39203-1219 | 2007-02-21 |
| 1457522260 | Jimmie C Robinson | Durable Medical Equipment & Medical Supplies | 605 W Fortification St, Jackson, MS 39203-1706 | 2008-03-19 |
| 1093277428 | Connections Counseling & Consulting LLC | Social Worker | 338 Oak St, Jackson, MS 39203-1810 | 2019-04-04 |
| 1033504816 | Niesha Lasha Gilmore | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2015-03-30 |
| 1255952453 | Innovative Hands of Therapy Services LLC | Occupational Therapist | 519 Scott St, Jackson, MS 39203-1825 | 2020-04-29 |
| 1588812341 | Deepti Amol Janorkar | Dentist | 275 Roseneath Ave, Jackson, MS 39203-2052 | 2008-09-05 |
| Find all providers in zip 39203 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754696 | David L Thompson | Custodial Care Facility | 59 West St, Jackson, OH 45640-1566 | 2020-09-14 |
| 1265045223 | Charity Baker | Custodial Care Facility | 677 Westwood Ave, Jackson, TN 38301-4230 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540428 | Jennifer Lashon May | Custodial Care Facility | 141 Jefferson Street Ste, C, Monticello, MS 39654-3965 | 2019-10-28 |
| 1255866059 | Personal Touch LLC | Custodial Care Facility | 614 Chippewah Dr, Laurel, MS 39443-7413 | 2017-04-29 |
| 1164964003 | Creative Image Personal Care Service LLC | Custodial Care Facility | 503 Highway 82 E, Indianola, MS 38751-2317 | 2016-11-09 |
| 1679943310 | Educare Senior Day Center (vicksburg Branch) | Custodial Care Facility | 3202 Wisconsin Ave, Vicksburg, MS 39180-5351 | 2015-10-06 |
| 1659747988 | Aging Gracefully Community Center | Custodial Care Facility | 16165 Highway 51, Hazlehurst, MS 39083-2002 | 2015-08-20 |
| 1215315528 | Serenityhomecare | Custodial Care Facility | 1512 Clinton Raymond Rd, Clinton, MS 39056-5400 | 2015-05-07 |
| 1356765101 | Healthyland Adult Day Care, LLC | Custodial Care Facility | 227 Pecan Street, Marks, MS 38646 | 2014-02-14 |
| 1053746487 | Assurance Home Care Agency LLC | Custodial Care Facility | 1549 Shiloh Church Rd, Newton, MS 39345-9024 | 2013-09-04 |
| 1790119519 | Pressicare, Inc | Custodial Care Facility | 20434 Old Houston Rd, Aberdeen, MS 39730-8548 | 2013-08-28 |
| 1295084325 | The Way of Life Adult Day Care Inc | Custodial Care Facility | 1356 Newport Rd, Lexington, MS 39095-5869 | 2012-09-05 |
| 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.