SPRINGWOOD HEALTH & SUPPORTIVE LIVING SERVICES (NPI# 1538792932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538792932 |
| Entity Type | Organization |
| Organization Name | SPRINGWOOD HEALTH & SUPPORTIVE LIVING SERVICES |
| Practice Address |
6447 Cheyenne Dr Olive Branch MS 38654-5172 |
| Practice Telephone | 6624041908 |
| Mailing Telephone | 6624041908 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | MRS. KEANNA ANTAJANI WINTERS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6624041908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1908 | 05 |
| Street Address |
6447 CHEYENNE DR |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-5172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255890695 | Boswell Regional Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1049 Simpson Highway 149, Magee, MS 39111-9644 | 2019-03-15 |
| 1871088922 | Tate Enterprises, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1105 Laura Ave, Jackson, MS 39209-7008 | 2018-06-29 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1124520549 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 819b Central Ave, Bay St Louis, MS 39520-3913 | 2018-03-01 |
| 1659790152 | Light of The World Adult Day Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 W Gresham St, Indianola, MS 38751-2053 | 2014-04-11 |
| 1518386440 | Sharon Jones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 322 Dianne Dr, Diberville, MS 39540-3712 | 2014-04-08 |
| 1053682724 | Center for Family Life Extension, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1160 Mclean St, Jackson, MS 39209-7251 | 2012-01-26 |
| 1750684742 | Angela F. Holmes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1421 Mary St, Greenville, MS 38701-7148 | 2010-12-13 |
| 1417464512 | Community Living In Mississippi - Baddour | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3297 Highway 51 S, Senatobia, MS 38668-2926 | 2018-01-10 |
| 1215341979 | Methodist Home Road Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4560 Methodist Home Rd, Jackson, MS 39213-4201 | 2014-06-19 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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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.