SAINT FRANCIS COMMUNITY SERVICES AT MISSISSPPI, INC. (NPI# 1235301615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235301615 |
Entity Type | Organization |
Organization Name | SAINT FRANCIS COMMUNITY SERVICES AT MISSISSPPI, INC. |
Practice Address |
4021 Chicot St Pascagoula MS 39581-4327 |
Mailing Address |
509 E Elm St Salina KS 67401-2353 |
Practice Telephone | 2287690477 |
Practice Fax Number | 2287624229 |
Mailing Telephone | 7858250541 |
Mailing Fax Number | 7858254024 |
Enumeration Date | 2008-03-26 |
Last Update Date | 2008-03-26 |
Authorized Official Name | MRS. JANET ATTEBERRY (COMPTROLLER) |
Authorized Official Telephone | 7858250541 |
Is Organization Subpart | Y |
Parent Organization Name | SAINT FRANCIS COMMUNITY SERVICES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | CYS30TGH05 | MS | Residential Treatment Facilities |
Street Address |
4021 CHICOT ST |
City | PASCAGOULA |
State | MS |
Zip Code | 39581-4327 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
Find all providers in zip 39581 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265829584 | Cares Center Inc | Psychiatric Residential Treatment Facility | 28281 Road 401, Saucier, MS 39574-7135 | 2015-04-24 |
1447462395 | Mississippi Children's Home | Psychiatric Residential Treatment Facility | 1801 N West St, Jackson, MS 39202-1032 | 2007-05-04 |
1487762076 | Rehabilitation Centers, LLC | Psychiatric Residential Treatment Facility | 901 First Avenue N.e., Magee, MS 39111 | 2006-08-25 |
1255448775 | Rehabilitation Centers, LLC | Psychiatric Residential Treatment Facility | 1814 Hwy 15 North, Pontotoc, MS 38863 | 2006-08-23 |
1013922954 | Specialized Treatment Facility | Psychiatric Residential Treatment Facility | 14426 James Bond Rd, Gulfport, MS 39503-8311 | 2006-07-29 |
1154784965 | Jackson Vamc | Psychiatric Residential Treatment Facility | 1500 Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2016-03-30 |
1558504407 | Parkwood Behavioral Health System | Psychiatric Residential Treatment Facility | 8135 Goodman Rd, Olive Branch, MS 38654-2103 | 2009-04-08 |
1467637488 | Specialized Treatment Facility | Psychiatric Residential Treatment Facility | 14426 James Bond Rd, Gulfport, MS 39503-8311 | 2008-01-09 |
1144421496 | Millcreek Schools, LLC | Psychiatric Residential Treatment Facility | 1814 Hwy 15 North, Pontotoc, MS 38863 | 2007-05-31 |
1639382690 | Cares Center Inc | Psychiatric Residential Treatment Facility | 402 Wesley Ave, Jackson, MS 39202 | 2007-05-07 |
Find all providers with the same taxonomy |
City | PASCAGOULA |
Zip Code | 39581 |
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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.