METHODIST HOME ROAD ASSISTED LIVING – NPI #1215341979
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.

METHODIST HOME ROAD ASSISTED LIVING is a community based residential treatment facility located in JACKSON, MS. NPPES has assigned the NPI number 1215341979 to METHODIST HOME ROAD ASSISTED LIVING on June 19, 2014. 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 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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 METHODIST HOME ROAD ASSISTED LIVING below.

NPI Profile for
METHODIST HOME ROAD ASSISTED LIVING

NPI Number
1215341979
Enumeration Date

(about 12 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
METHODIST HOME ROAD ASSISTED LIVING
Primary location
4560 METHODIST HOME RD
JACKSON, MS 39213-4201
Phone: (769) 257-7232 Fax: (769) 257-7745
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIARA JOHNSON
MANAGER
Phone: (601) 918-6415
Updated
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.