Methodist Home Road Assisted Living

LBN: Methodist Home Road Assisted Living
Methodist Home Road Assisted Living is an health care organization with primary practice located at 4560 Methodist Home Rd , Jackson MS 39213-4201. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Methodist Home Road Assisted Living can be contacted via phone (769) 257-7232, or through Johnson, Kiara Lashae via phone (601) 918-6415.

Contact Information

Primary practice address
4560 Methodist Home Rd Jackson MS 39213-4201
Phone: (769) 257-7232
Fax: (769) 257-7745
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Kiara Lashae
Phone: (601) 918-6415

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1215341979
LBN Legal business name Methodist Home Road Assisted Living
DBA Doing business as
Authorized official Johnson, Kiara Lashae
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2014
Last updated Jun 19th, 2014 - about 10 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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