Pleasant Hills Community Living Center

LBN: Clc Of Jackson, Llc
Pleasant Hills Community Living Center is an health care organization with primary practice located at 1600 Raymond Rd , Jackson MS 39204-4203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Clc Of Jackson, Llc can be contacted via phone (601) 371-1700, or through Wright, Douglas M. via phone (662) 680-3148.

Contact Information

Primary practice address
1600 Raymond Rd Jackson MS 39204-4203
Phone: (601) 371-1700
Fax: (601) 371-1006
Website:
Map and Directions
Authorized official contact:
Name: Wright, Douglas M.
Phone: (662) 680-3148

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 612 Mississippi

Profile Details

NPI number 1689664765
LBN Legal business name Clc Of Jackson, Llc
DBA Doing business as Pleasant Hills Community Living Center
Authorized official Wright, Douglas M.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689664765 NPPES
Mississippi MEDICAID 0230178

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