CHOICES FOR CHILDREN AND FAMILY - FOREST HILL (NPI# 1962638791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962638791 |
| Entity Type | Organization |
| Organization Name | CHOICES FOR CHILDREN AND FAMILY - FOREST HILL |
| Practice Address |
2607 Raymond Rd Jackson MS 39212-2252 |
| Mailing Address |
6639 Sullivan Rd Greenwell Springs LA 70739-3112 |
| Practice Telephone | 2257759800 |
| Practice Fax Number | 2257758149 |
| Mailing Telephone | 2252610160 |
| Mailing Fax Number | 2257758149 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-04-01 |
| Authorized Official Name | MRS. ANNETTE AUSTIN (CEO) |
| Authorized Official Telephone | 2252610160 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | CHOICES FOR CHILDREN AND FAMILY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
2607 RAYMOND RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39212-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013406172 | South Central Community Action Agency, Inc | Non-emergency Medical Transport (VAN) | 3891 I-55 South Frontage Rd, Jackson, MS 39212 | 2018-05-04 |
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114471570 | Telemedicine Services of Mississippi | Clinic/Center | 2355b River Oaks Blvd, Jackson, MS 39211-3015 | 2016-08-15 |
| 1851706188 | Mediscan, LLC | Clinic/Center | 111 N Missouri St, Jackson, MO 63755-1831 | 2014-06-25 |
| 1245643204 | Meredith Figueroa | Clinic/Center | 20 Copper Ridge Cv, Jackson, TN 38305-5725 | 2014-06-07 |
| 1710260310 | Envision Eye Care, Inc | Clinic/Center | 1100 Jr Lynch St, Suite 5, Jackson, MS 39203-3311 | 2011-09-21 |
| 1083778617 | Choices for Children LLC | Clinic/Center | 2941 Terry Rd Ste 22, Jackson, MS 39212-3072 | 2006-12-20 |
| 1255719068 | Medical Care Alliance LLC | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2015-05-13 |
| 1528470630 | Rebecca A. Griggs | Clinic/Center | 21 Security Dr, Jackson, TN 38305-3626 | 2014-05-22 |
| 1679843452 | Medical Mall Services of Mississippi, LLC | Clinic/Center | 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681 | 2012-01-10 |
| 1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
| 1588964811 | Good Samaritan Family Walk-in Clinic, LLC | Clinic/Center | 1869 Highway 45 Byp, Suite 4, Jackson, TN 38305-2464 | 2010-11-03 |
| Find all providers in JACKSON | ||||
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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.