LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY (NPI# 1336507284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336507284 |
| Entity Type | Organization |
| Organization Name | LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY |
| Practice Address |
2634 E Lake Blvd Apt 9-9 Robinsonville MS 38664-8916 |
| Practice Telephone | 6623734422 |
| Mailing Telephone | 6623734422 |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2016-02-07 |
| Authorized Official Name | MISS CONSWAYDA L MERRITT (OWNER/OPERATOR) |
| Authorized Official Telephone | 6623734422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MS | Residential Treatment Facilities |
| Street Address |
2634 E LAKE BLVD APT 9-9 |
| City | ROBINSONVILLE |
| State | MS |
| Zip Code | 38664-8916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639339682 | Mary Elizabeth Tullos | Nurse Practitioner | 1150 Casino Strip Resort Blvd, Robinsonville, MS 38664 | 2008-06-12 |
| 1629164512 | Tunica County Healthcare Authority | Family Medicine | 11273 U S Highway 61 North, Tunica Resorts, MS 38664 | 2006-10-05 |
| 1720037005 | Bobby Young Joe | Emergency Medicine | 13615 Old Highway 61 North, Harrah's Take Care Health and Wellness Clinic, Robinsonville, MS 38664 | 2006-05-06 |
| 1891931069 | Garnett Miller | Nurse Practitioner | 1150 Casino Strip Resort Blvd, Robinsonville, MS 38664 | 2008-12-18 |
| 1215946348 | Esther Dunlap | Nurse Practitioner | 11273 Highway 61 N, Robinsonville, MS 38664-9705 | 2006-08-07 |
| 1548476252 | Timothy J Callaghan | Family Medicine | 11273 Highway 61 N, Robinsonville, MS 38664-9705 | 2007-05-16 |
| 1528149531 | Daniella S Ellis | Nurse Practitioner | 11273 Highway 61 N, Robinsonville, MS 38664-9705 | 2006-10-17 |
| 1033258926 | Melanie Jo Hill | Nurse Practitioner | 1021 Casino Center Dr, Caesar's Health and Wellness Center, Robinsonville, MS 38664-9708 | 2007-02-06 |
| 1861623852 | Whole Health Medical Group of Ohio Proffessional Corporation | Clinic/Center | 1021 Casino Center Dr, Robinsonville, MS 38664-9708 | 2009-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639339682 | Mary Elizabeth Tullos | Nurse Practitioner | 1150 Casino Strip Resort Blvd, Robinsonville, MS 38664 | 2008-06-12 |
| 1033258926 | Melanie Jo Hill | Nurse Practitioner | 1021 Casino Center Dr, Caesar's Health and Wellness Center, Robinsonville, MS 38664-9708 | 2007-02-06 |
| 1215946348 | Esther Dunlap | Nurse Practitioner | 11273 Highway 61 N, Robinsonville, MS 38664-9705 | 2006-08-07 |
| 1720037005 | Bobby Young Joe | Emergency Medicine | 13615 Old Highway 61 North, Harrah's Take Care Health and Wellness Clinic, Robinsonville, MS 38664 | 2006-05-06 |
| 1861623852 | Whole Health Medical Group of Ohio Proffessional Corporation | Clinic/Center | 1021 Casino Center Dr, Robinsonville, MS 38664-9708 | 2009-08-07 |
| 1891931069 | Garnett Miller | Nurse Practitioner | 1150 Casino Strip Resort Blvd, Robinsonville, MS 38664 | 2008-12-18 |
| 1548476252 | Timothy J Callaghan | Family Medicine | 11273 Highway 61 N, Robinsonville, MS 38664-9705 | 2007-05-16 |
| 1528149531 | Daniella S Ellis | Nurse Practitioner | 11273 Highway 61 N, Robinsonville, MS 38664-9705 | 2006-10-17 |
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383779 | Mississippi Health Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 W Amite St, Jackson, MS 39201-1203 | 2015-08-04 |
| 1053742684 | Building Futures, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 220 Mcdowell Park Cir, Jackson, MS 39204-4317 | 2013-12-08 |
| 1649552829 | Miles Cororation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3959 Highway 468 W, Pearl, MS 39208-9001 | 2011-09-14 |
| 1376840058 | Mississippi Adolescent Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 760 Brookman Drive Extension, Brookhaven, MS 39601-2340 | 2011-02-16 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1346329935 | Boswell Regional Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Simpson Old Hwy 49 North, Magee, MS 39111-0128 | 2006-11-03 |
| 1831680792 | Gulf Gardens Residential and Community Living LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 | 2018-05-25 |
| 1932525714 | Majestic Estates LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 511 N Broad St, Forest, MS 39074-3511 | 2014-03-17 |
| 1023367455 | Lucy B Hodges Rn Fpnp Pllc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1303 River Rd, Greenwood, MS 38930-4029 | 2012-08-30 |
| City | ROBINSONVILLE |
| Zip Code | 38664 |
Please comment or provide details below to improve the information on LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY.
| 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.