SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME – NPI #1386916864
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.

SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME is a residential treatment facility located in JACKSON, MS. NPPES has assigned the NPI number 1386916864 to SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME on January 31, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME below.

NPI Profile for
SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME

NPI Number
1386916864
Enumeration Date

(more than 14 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
SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME
Primary location
411 NAPLES RD
JACKSON, MS 39206-5918
Phone: (601) 398-2974 Fax: (601) 487-6227
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANGELA WRIGHT
SOCIAL WORKER/FOUNDER
Phone: (601) 454-6419
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)
MS CYS-SOL-TGH-02

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.