LANGSTON JETT ENTERPRISES, LLC (NPI# 1417210154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417210154 |
| Entity Type | Organization |
| Organization Name | LANGSTON JETT ENTERPRISES, LLC |
| Practice Address |
3512 36th Ave Meridian MS 39307-3603 |
| Practice Telephone | 6019179483 |
| Mailing Telephone | 6019179483 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Authorized Official Name | SARON CORNELIUS HEATH (DIRECTOR/ADMINISTRATOR) |
| Authorized Official Telephone | 6019179483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3512 36TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196246 | Tina M Thomas | Community/Behavioral Health | 3800 W Perugia St Apt W204, Meridian, ID 83642-4973 | 2019-07-19 |
| 1023483211 | The Family Table, Inc. | Community/Behavioral Health | 1005 E Franklin Rd, Meridian, ID 83642-5951 | 2015-12-14 |
| 1972987543 | Maitri Community Services | Community/Behavioral Health | 3709 N Locust Grove Rd, Suite 100, Meridian, ID 83646-6449 | 2015-07-14 |
| 1689989816 | Preferred Community Homes, LLC | Community/Behavioral Health | 440 W Pennwood St Ste 200, Meridian, ID 83642-8602 | 2010-08-12 |
| 1619293222 | Access Living | Community/Behavioral Health | 690 S Industry Way Ste 45, Meridian, ID 83642-7907 | 2010-04-08 |
| 1992035364 | Mountain View Behavioral Health, Pllc | Community/Behavioral Health | 3138 W Mirage Ct, Meridian, ID 83646-4127 | 2010-01-07 |
| 1316272248 | Journey Mental Health | Community/Behavioral Health | 2525 N Stokesberry Pl Ste A, Meridian, ID 83646-1144 | 2009-10-09 |
| 1912136466 | Adams Center for Counseling LLC | Community/Behavioral Health | 2525 N Stokesberry Pl, Suite A, Meridian, ID 83646-1502 | 2009-07-06 |
| 1851413314 | Inroads Inc. | Community/Behavioral Health | 3288 E Pine Ave, Meridian, ID 83642 | 2007-04-04 |
| 1013055532 | Best of Both Worlds Addiction Center, Inc. | Community/Behavioral Health | 8364 Ham Rd, Meridian, MS 39305-9440 | 2007-02-05 |
| Find all providers in MERIDIAN | ||||
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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.