WILLOWOOD DEVELOPMENTAL CENTER – NPI #1831243070
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

WILLOWOOD DEVELOPMENTAL CENTER is a residential treatment facility located in JACKSON, MS. NPPES has assigned the NPI number 1831243070 to WILLOWOOD DEVELOPMENTAL CENTER on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 16 years ago on Jan 27, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLOWOOD DEVELOPMENTAL CENTER below.

NPI Profile for
WILLOWOOD DEVELOPMENTAL CENTER

NPI Number
1831243070
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLOWOOD DEVELOPMENTAL CENTER
Primary location
1635 BOLING ST
JACKSON, MS 39213-4418
Phone: (601) 366-0123 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CURTIS ALFORD
EXECUTIVE DIRECTOR
Phone: (601) 366-0123
Updated
Identifiers

Identifiers for WILLOWOOD DEVELOPMENTAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00770062
MEDICAIDMS09015618
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.