MILES CORORATION (NPI# 1649552829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649552829 |
| Entity Type | Organization |
| Organization Name | MILES CORORATION |
| Practice Address |
3959 Highway 468 W Pearl MS 39208-9001 |
| Mailing Address |
108 Bayshore Dr Ridgeland MS 39157-1129 |
| Practice Telephone | 6018244865 |
| Practice Fax Number | 6018244865 |
| Mailing Telephone | 6018262249 |
| Mailing Fax Number | 6018244865 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Authorized Official Name | MRS. MARY BATES (FOUNDER) |
| Authorized Official Telephone | 6018262249 |
| 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 | N/A | MS | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS.VOCATIONAL REHAB | 09331-M3000-038 | 01 |
| Street Address |
3959 HIGHWAY 468 W |
| City | PEARL |
| State | MS |
| Zip Code | 39208-9001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1003273897 | Xcel Rehab, Inc. | Clinic/Center | 209 Riverwind East, Suite B, Pearl, MS 39208 | 2016-01-25 |
| 1487035044 | Christopher Rogers | Physical Therapy Assistant | 209 B Riverwind East, Pearl, MS 39208 | 2015-06-09 |
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| Find all providers in zip 39208 | ||||
| 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 |
|---|---|---|---|---|
| 1336507284 | Lapearls Residential and Private Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2634 E Lake Blvd Apt 9-9, Robinsonville, MS 38664-8916 | 2016-02-07 |
| 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 |
| 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 |
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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.