PINE VALE CHILDRENS HOME – NPI #1225324510
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

PINE VALE CHILDRENS HOME is a residential treatment facility located in CORINTH, MS. NPPES has assigned the NPI number 1225324510 to PINE VALE CHILDRENS HOME on June 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PINE VALE CHILDRENS HOME” is a dba name, the actual legal business name for this organization is PINE VALE INC. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 PINE VALE CHILDRENS HOME below.

NPI Profile for
PINE VALE INC

NPI Number
1225324510
Enumeration Date

(about 15 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
PINE VALE INC
Doing Business As (dba): PINE VALE CHILDRENS HOME
Primary location
1872 COUNTY ROAD 700
CORINTH, MS 38834-8734
Phone: (662) 286-6555 Fax: (662) 287-0283
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS BARAGONA
DIRECTOR
Phone: (662) 286-6555
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.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

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.