BAPTIST HOMES, INC. (NPI# 1467646034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467646034 |
Entity Type | Organization |
Organization Name | BAPTIST HOMES, INC. |
Other Organization Name | SON VALLEY |
Practice Address |
461 Goodloe Rd Canton MS 39046 |
Mailing Address |
Po Box 406 Canton MS 39046-0406 |
Practice Telephone | 6018592100 |
Practice Fax Number | 6018592105 |
Mailing Telephone | 6018592100 |
Mailing Fax Number | 6018592105 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-07-22 |
Authorized Official Name | WILLIAM MCCORMACK (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6018592100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1009 | MS | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 05327710 | 05 |
Other Name | Type Code |
---|---|
SON Valley | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215935929 | Baptist Homes, Inc. | Skilled Nursing Facility | 3001 N Hurstbourne Pkwy, Louisville, KY 40241-2209 | 2005-07-07 |
Street Address |
461 GOODLOE RD |
City | CANTON |
State | MS |
Zip Code | 39046 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275901167 | Baptist Homes Inc | Intermediate Care Facility, Mentally Retarded | 461 Goodloe Rd, Canton, MS 39046-9740 | 2015-09-09 |
1467705277 | Baptist Homes Inc | Day Training/Habilitation Specialist | 461 Goodloe Rd, Canton, MS 39046-9740 | 2012-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
Find all providers in zip 39046 |
Taxonomy Code | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598077661 | Oakdale Recovery Center | Community Based Residential Treatment Facility, Mental Illness | 43825 Michigan Ave, Canton, MI 48188-2551 | 2010-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833575 | Embracing Hearts Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1018 Emileigh Dr, Summit, MS 39666-4700 | 2020-08-25 |
1285157693 | Schylon Smith | Community Based Residential Treatment Facility, Mental Illness | 535 Holt Collier St, Greenville, MS 38701-3846 | 2017-07-18 |
1821537259 | Open Arms | Community Based Residential Treatment Facility, Mental Illness | 2907 Glenderry St, Jackson, MS 39212-2722 | 2017-02-17 |
1316360449 | Middle Ms Access Corporation | Community Based Residential Treatment Facility, Mental Illness | 620 W Amite St, Jackson, MS 39203-2618 | 2014-01-24 |
1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
1003243965 | Region Iv | Community Based Residential Treatment Facility, Mental Illness | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-10-08 |
1588091458 | Region Iv Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-10-08 |
1922262708 | Central Mississippi Residential Center | Community Based Residential Treatment Facility, Mental Illness | 701 Northside Drive, Newton, MS 39345-0470 | 2008-07-11 |
1780873232 | Mississippi Children's Home Society - Mypac | Community Based Residential Treatment Facility, Mental Illness | 1900 N West St, Jackson, MS 39202-1033 | 2007-10-22 |
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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.