SENIOR CARE CENTERS OF MISSISSIPPI, LLC (NPI# 1275747289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275747289 |
| Entity Type | Organization |
| Organization Name | SENIOR CARE CENTERS OF MISSISSIPPI, LLC |
| Other Organization Name | BAPTIST ADULT DAY HEALTH SERVICES OF N. JACKSON |
| Practice Address |
6250 Old Canton Rd Suite 140 Jackson MS 39211-2946 |
| Mailing Address |
7 Neshaminy Interplex Suite 403 Trevose PA 19053 |
| Practice Telephone | 6019567794 |
| Practice Fax Number | 6012068094 |
| Mailing Telephone | 2156426600 |
| Mailing Fax Number | 2156426610 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CRAIG O MEHNERT (CFO) |
| Authorized Official Telephone | 2156426600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770373 | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Adult Day Health Services of N. Jackson | Doing Business As Name - Organization |
| Street Address |
6250 OLD CANTON RD SUITE 140 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538138391 | William Brad Castle | Family Medicine | 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 | 2006-03-15 |
| 1215302419 | Jessica Mcgee | Physical Therapist | 6250 Old Canton Rd, Jackson, MS 39211-2946 | 2015-12-14 |
| 1477928661 | Tiffany Sutton | Physical Therapist | 6250 Old Canton Rd, Baptist Pt-northtown, Jackson, MS 39211-2946 | 2015-12-14 |
| 1164786588 | Baptist Pt - Northtown | Physical Therapist | 6250 Old Canton Rd, Jackson, MS 39211-2946 | 2012-06-29 |
| 1174881767 | Heath Herndon Smylie | Physical Therapy Assistant | 6250 Old Canton Rd, Jackson, MS 39211-2946 | 2012-05-02 |
| 1801108196 | Lauren Bridget Treadwell | Family Medicine | 6250 Old Canton Rd, Jackson, MS 39211-2946 | 2010-07-02 |
| 1649249426 | Massie H Headley | Family Medicine | 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 | 2006-03-15 |
| 1164491924 | Larry L Collins | Internal Medicine | 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552005 | Demetress Brent | Respite Care | 2941 Sheila Dr, Jackson, MS 39209-6125 | 2020-06-08 |
| 1295394377 | Divinity Community Living, Inc. | Respite Care | 405 Briarwood Dr Ste 108q, Jackson, MS 39206-3032 | 2019-06-11 |
| 1518522135 | Nj Respite & Riding LLC | Respite Care | 240 Grawtown Rd, Jackson, NJ 08527-5107 | 2019-05-08 |
| 1336695543 | Wbf Choice Healthcare, Inc | Respite Care | 501 Jacksonian Plz, #12641, Jackson, MS 39211 | 2016-08-28 |
| 1427421387 | A Step Ahead Homecare LLC | Respite Care | 5040 N State St Ste 11, Jackson, MS 39206-4056 | 2015-11-01 |
| 1902272834 | Precision Care Service of Ms. | Respite Care | 2310 Highway 80 W Ste C1122, Jackson, MS 39204-2354 | 2015-08-14 |
| 1104201771 | Total Healthcare Network Inc. | Respite Care | 210 Cooper Rd, Jackson, MS 39212-4805 | 2015-07-24 |
| 1134533896 | Kiara Lashae Johnson | Respite Care | 4560 Methodist Home Rd, Jackson, MS 39213-4201 | 2014-06-19 |
| 1649603697 | Anointed Personal Care and Respite Services | Respite Care | 3800 Yarbro St Apt 305, Jackson, MS 39204-2119 | 2013-08-14 |
| 1124465547 | Christian Sitters | Respite Care | 5538 North State Street Ste 106, Jackson, MS 39206 | 2013-05-24 |
| Find all providers in JACKSON | ||||
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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.