HARBOR HOUSES OF JACKSON, INC. (NPI# 1669603593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669603593 |
| Entity Type | Organization |
| Organization Name | HARBOR HOUSES OF JACKSON, INC. |
| Other Organization Name | HARBOR HOUSE CHEMICAL DEPENDENCY SERVICES |
| Practice Address |
5354 I 55 S Jackson MS 39272-9119 |
| Mailing Address |
Po Box 2917 Jackson MS 39207-2917 |
| Practice Telephone | 6017141640 |
| Practice Fax Number | 6013713272 |
| Mailing Telephone | 6017141640 |
| Mailing Fax Number | 6013713217 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | MR. MILTON TROST FRIEDLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6017141640 |
| Authorized Official Credential | LA CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MS | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Harbor House Chemical Dependency Services | Doing Business As Name - Organization |
| Street Address |
5354 I 55 S |
| City | JACKSON |
| State | MS |
| Zip Code | 39272-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649893363 | Prestige Dental Care | Dentist | 7138 S Siwell Road, Byram, MS 39272 | 2020-05-28 |
| 1093204158 | Primary Family Medical Clinic | Nurse Practitioner | 100 Marker Place Dr. Ste D, Byram, MS 39272 | 2018-05-04 |
| 1457869190 | Lakisha Ann Mcmorris | Adult Companion | 300 Byram Drive, Apt 51d, Byram, MS 39272 | 2018-01-16 |
| 1639692908 | Quintin Todd Julius, Pllc | Dentist | 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 | 2017-07-19 |
| 1134649395 | Helping Hands Service LLC | Home Health | 1402 Siwell Rd Suite 110, Byram, MS 39272 | 2017-06-20 |
| 1760916050 | Delivery Me, LLC | Non-emergency Medical Transport (VAN) | 5210 Brookleigh Drive, Byram, MS 39272 | 2017-04-13 |
| 1962893396 | Rebecca Holley | Speech-Language Pathologist | 7213 S Siwell Road, Byram, MS 39272 | 2015-02-06 |
| 1144665738 | Providence Healthcare of Ms | Nursing Care | 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 | 2013-05-08 |
| 1568742146 | Deandre Monique Carr | Optometrist | 131 Handley Boulevard, Byram, MS 39272 | 2011-08-26 |
| 1063690022 | Physical Rehabilitation Management | Physical Therapist | 128 Byram Center Drive, Jackson, MS 39272 | 2008-02-01 |
| Find all providers in zip 39272 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720694193 | Detox West Tennessee LLC | Substance Abuse Rehabilitation Facility | 370 N Cumberland St, Jackson, TN 38301-5470 | 2020-09-21 |
| 1215550736 | Cataldie Publishing LLC | Substance Abuse Rehabilitation Facility | 349 Highway 61, Jackson, LA 70748-4218 | 2020-05-19 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1750885703 | W. A. Foote Memorial Hospital, Inc | Substance Abuse Rehabilitation Facility | 2424 W Washington Ave Ste 200, Jackson, MI 49203-1236 | 2018-03-22 |
| 1518206440 | Alcohol Services Center, Inc. | Substance Abuse Rehabilitation Facility | 950 N West St, Jackson, MS 39202-2566 | 2013-02-13 |
| 1629232384 | T.a.m.b. of Jackson Tn Inc | Substance Abuse Rehabilitation Facility | 110 Mccowat St, Jackson, TN 38301-5279 | 2008-07-11 |
| 1083766323 | Jackson Area Council On Alcoholism and Drug Dependency | Substance Abuse Rehabilitation Facility | 900 E Chester St, Jackson, TN 38301-6502 | 2007-01-17 |
| 1669641197 | Ashley House, Inc. | Substance Abuse Rehabilitation Facility | 308 W Ashley St, Jackson, MN 56143-1568 | 2008-02-28 |
| 1285716928 | Jackson Va Medical Center | Substance Abuse Rehabilitation Facility | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1861047250 | Defining Wellness Centers Inc. | Substance Abuse Rehabilitation Facility | 630 Lakeland East Dr Ste A, Flowood, MS 39232-9565 | 2019-08-03 |
| 1093284598 | Safe Harbor Recovery and Counseling LLC | Substance Abuse Rehabilitation Facility | 123 Westover Dr, Hattisburg, MS 39402-1329 | 2018-11-14 |
| 1164948196 | Extra Mile Recovery | Substance Abuse Rehabilitation Facility | 720 Oak Grove Rd, Mantachie, MS 38855-8469 | 2017-08-22 |
| 1891149738 | Stonewater Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 38 County Road 362, Oxford, MS 38655-8514 | 2016-04-18 |
| 1386042471 | Recovery House, Inc. | Substance Abuse Rehabilitation Facility | 770 Golding Road, Columbus, MS 39704-2590 | 2014-12-05 |
| 1487067237 | Addiction Campuses of Mississippi, LLC | Substance Abuse Rehabilitation Facility | 7185 Swinnea Rd, Southaven, MS 38671-6003 | 2014-06-10 |
| 1023373586 | Clever Recovery | Substance Abuse Rehabilitation Facility | 185 Foxtrail Rd, Picayune, MS 39466-9027 | 2012-07-11 |
| 1760610109 | Frontline Recovery, LLC | Substance Abuse Rehabilitation Facility | 1038 River Ridge Rd, Summit, MS 39666-9715 | 2009-06-24 |
| 1376701573 | The Oxford Centre, LLC | Substance Abuse Rehabilitation Facility | 297 County Road 244, Etta, MS 38627-9523 | 2008-05-26 |
| Find all providers with the same taxonomy | ||||
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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.