LIGHT OF THE WORLD ADULT DAY CARE, LLC


Address: 405 W Gresham St, Indianola, MS 38751-2053
Phone: 6622073744

LIGHT OF THE WORLD ADULT DAY CARE, LLC (NPI# 1659790152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659790152
Entity Type Organization
Organization Name LIGHT OF THE WORLD ADULT DAY CARE, LLC
Practice Address 405 W Gresham St
Indianola
MS 38751-2053
Practice Telephone 6622073744
Mailing Telephone 6622073744
Enumeration Date 2014-04-11
Last Update Date 2014-04-11
Authorized Official Name MRS. TERRY HUTCHINS (OWNER)
Authorized Official Telephone 6622073744
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 111111111 MS Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 1111111111 05

Office Location

Street Address 405 W GRESHAM ST
City INDIANOLA
State MS
Zip Code 38751-2053

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649781253 Greater Hearts Adult Daycare Clinic/Center 124 Curtis Street, Indianola, MS 38751 2017-10-23
1083139505 Quality Family Care LLC Nurse Practitioner 310 Hwy 82 West, Suite D, Indianola, MS 38751 2017-08-05
1932641800 Creative Image Personal Care Services LLC Respite Care 503 Hwy 82 East, Indianola, MS 38751 2016-11-09
1225580442 St. John's Respite Care Services, LLC In Home Supportive Care 517 East Street, Indianola, MS 38751 2016-11-04
1992163588 Rona Kaye Huey Nurse Practitioner 310 Highway 82 W Ste D, Indianola, MS 38751 2016-02-10
1952641201 Julia R. Hill, Dmd, Pa Dentist 104 W. Gresham St., Indianola, MS 38751 2013-02-25
1649463977 Kenneth C Beal Jr. Dentist 913 B.b. King Road, Indianola, MS 38751 2007-08-21
1922136688 Lloyd Leon Patton Jr. Pharmacist 903 Highway 82 East, Building G, Indianola, MS 38751 2007-03-02
1770623506 North Mississippi Foot Specialists PC Durable Medical Equipment & Medical Supplies 110 East Baker Street, Indianola, MS 38751 2007-02-08
1548311525 Quality In Home Services Inc Homemaker 108 Martin Luther King, Indianola, MS 38751 2007-01-16
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538792932 Springwood Health & Supportive Living Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6447 Cheyenne Dr, Olive Branch, MS 38654-5172 2020-02-14
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
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
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Competitor

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City INDIANOLA
Zip Code 38751

Improve Information

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Dataset Information

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.

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