MISSISSIPPI CHILDREN'S HOME SOCIETY - MYPAC (NPI# 1780873232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780873232 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI CHILDREN'S HOME SOCIETY - MYPAC |
| Practice Address |
1900 N West St Jackson MS 39202-1033 |
| Practice Telephone | 6013527784 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | CHRISTOPHER M CHERNEY (CEO) |
| Authorized Official Telephone | 6013527784 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
1900 N WEST ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235341397 | Danielle Christine Seale | Social Worker | 1900 N West St, Suite D, Jackson, MS 39202-1033 | 2007-05-03 |
| 1043691074 | Gail Chancellor | Nurse Practitioner | 1900 N West St, Jackson, MS 39202-1033 | 2015-06-16 |
| 1255545398 | Jolie Glassman Kerenick | Social Worker | 1900 N West St, Suite D, Jackson, MS 39202-1033 | 2007-05-09 |
| 1881806701 | Susan Arceneaux | Social Worker | 1900 N West St, Sutie D, Jackson, MS 39202-1033 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285134965 | Guardian Angel Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 1038 Woodbridge St, Jackson, MI 49203-3112 | 2018-02-19 |
| 1821537259 | Open Arms | Community Based Residential Treatment Facility, Mental Illness | 2907 Glenderry St, Jackson, MS 39212-2722 | 2017-02-17 |
| 1316360449 | Middle Ms Access Corporation | Community Based Residential Treatment Facility, Mental Illness | 620 W Amite St, Jackson, MS 39203-2618 | 2014-01-24 |
| 1336224179 | Mississippi State Hospital At Whitfield | Community Based Residential Treatment Facility, Mental Illness | 350 Capers Avenue, Jackson, MS 39203 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833575 | Embracing Hearts Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1018 Emileigh Dr, Summit, MS 39666-4700 | 2020-08-25 |
| 1285157693 | Schylon Smith | Community Based Residential Treatment Facility, Mental Illness | 535 Holt Collier St, Greenville, MS 38701-3846 | 2017-07-18 |
| 1467646034 | Baptist Homes, Inc. | Community Based Residential Treatment Facility, Mental Illness | 461 Goodloe Rd, Canton, MS 39046 | 2007-08-28 |
| 1003243965 | Region Iv | Community Based Residential Treatment Facility, Mental Illness | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-10-08 |
| 1588091458 | Region Iv Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 120 Randy Hendrix Dr, Batesville, MS 38606-7664 | 2013-10-08 |
| 1922262708 | Central Mississippi Residential Center | Community Based Residential Treatment Facility, Mental Illness | 701 Northside Drive, Newton, MS 39345-0470 | 2008-07-11 |
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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.