LIGHT OF THE WORLD ADULT DAY CARE, LLC – NPI #1659790152
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

LIGHT OF THE WORLD ADULT DAY CARE, LLC is a community based residential treatment facility located in INDIANOLA, MS. NPPES has assigned the NPI number 1659790152 to LIGHT OF THE WORLD ADULT DAY CARE, LLC on April 11, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 LIGHT OF THE WORLD ADULT DAY CARE, LLC below.

NPI Profile for
LIGHT OF THE WORLD ADULT DAY CARE, LLC

NPI Number
1659790152
Enumeration Date

(more than 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
LIGHT OF THE WORLD ADULT DAY CARE, LLC
Primary location
405 W GRESHAM ST
INDIANOLA, MS 38751-2053
Phone: (662) 207-3744 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TERRY HUTCHINS
OWNER
Phone: (662) 207-3744
Updated
Identifiers

Identifiers for LIGHT OF THE WORLD ADULT DAY CARE, LLC

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
MEDICAIDMS1111111111
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.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 MS 111111111

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.