DIAMOND GROVE CENTER (NPI# 1659404572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659404572 |
Entity Type | Organization |
Organization Name | DIAMOND GROVE CENTER |
Practice Address |
2311 Highway 15 S Louisville MS 39339-7071 |
Practice Telephone | 6627790119 |
Practice Fax Number | 6627790126 |
Mailing Telephone | 6627790119 |
Mailing Fax Number | 6627790126 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2011-05-11 |
Authorized Official Name | STEVE FILTON (SRVP CFO) |
Authorized Official Telephone | 6107683300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 323P00000X | Psychiatric Residential Treatment Facility | 817 | MS | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00220801 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770617086 | Diamond Grove Center | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-16 |
1619000593 | Diamond Grove Center | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
1447350160 | Diamond Grove Center | Psychiatric Hospital | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-09-23 |
Street Address |
2311 HIGHWAY 15 S |
City | LOUISVILLE |
State | MS |
Zip Code | 39339-7071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558372193 | Diamond Grove Ctr Pharmacy | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-08-10 |
1770617086 | Diamond Grove Center | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-16 |
1619000593 | Diamond Grove Center | Pharmacy | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2007-03-13 |
1801967674 | Kenneth E Peres | Psychiatry & Neurology | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-11-13 |
1447350160 | Diamond Grove Center | Psychiatric Hospital | 2311 Highway 15 S, Louisville, MS 39339-7071 | 2006-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972149573 | Thomas Cefalu | Pharmacist | 16575 E Main St, Louisville, MS 39339 | 2019-11-19 |
1720506371 | Jennifer Marie Burns | Physical Therapist | 110 N Walmart Drive Suite F, Louisville, MS 39339 | 2017-09-05 |
1326409335 | Courtney Nicole Shaw | Speech-Language Pathologist | 316 Rocky Hill Road, Louisville, MS 39339 | 2016-03-18 |
1033598503 | Winston Medical Clinic LLC | Clinic/Center | 16569 W Main St, Louisville, MS 39339 | 2015-05-29 |
1689969735 | Adam C Byrd | Dermatology | 313 N Court Ave, Ummc Dermatology - Louisville Clinic, Louisville, MS 39339 | 2011-06-16 |
1356587208 | Louisville Healthcare LLC | Skilled Nursing Facility | 543 East Main Street, Louisville, MS 39339 | 2008-12-24 |
1699935908 | Stephen Eugene Hunter | Emergency Medicine | 100 Ellie Smith Rd, Louisville, MS 39339 | 2008-06-10 |
1669566279 | Southern Pharmaceutical Corporation | Durable Medical Equipment & Medical Supplies | 17220 E Main St Ste C, Louisville, MS 39339 | 2006-10-03 |
1184737017 | Louisville Eye Care | Optometrist | 500 North Church, Louisville, MS 39339 | 2006-08-16 |
1679583249 | Raymond John Orgler | Surgery | 547 E. Main St, Louisville, MS 39339 | 2006-08-08 |
Find all providers in zip 39339 |
Taxonomy Code | 323P00000X |
Grouping | Residential Treatment Facilities |
Classification | Psychiatric Residential Treatment Facility |
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740554864 | Uspiritus-brooklawn-steil | Psychiatric Residential Treatment Facility | 3100 Brooklawn Campus Dr, Louisville, KY 40218 | 2012-03-07 |
1730489113 | Maryhurst, Inc. | Psychiatric Residential Treatment Facility | 2115 Goldsmith Ln, Louisville, KY 40218-1206 | 2010-11-01 |
1598998619 | Village Behavioral Health, LLC | Psychiatric Residential Treatment Facility | 2431 Jones Bend Road, Louisville, TN 37777 | 2009-08-25 |
1558591669 | Uspiritus-brooklawn-susan's | Psychiatric Residential Treatment Facility | 2119 Goldsmith Ln, Louisville, KY 40218-1206 | 2009-07-23 |
1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
1427258979 | Flatirons Behavorial Health | Psychiatric Residential Treatment Facility | 2255 S 88 St, Louisville, CO 80227-9716 | 2007-07-23 |
1033275342 | Uspiritus-brooklawn-horizons | Psychiatric Residential Treatment Facility | 2104 David Graves Dr, Louisville, KY 40218 | 2006-12-29 |
1265598270 | Uspiritus-brooklawn-pilots | Psychiatric Residential Treatment Facility | 2108 David Graves Dr, Louisville, KY 40218 | 2006-12-28 |
1477618718 | Uspiritus Brooklawn Academy | Psychiatric Residential Treatment Facility | 3115 Brooklawn Campus Dr, Louisville, KY 40218 | 2006-12-27 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 39339 |
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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.