MIND REPOSE LLC – NPI #1609528272
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
MIND REPOSE LLC is a substance abuse rehabilitation facility located in PASS CHRISTIAN, MS. NPPES has assigned the NPI number 1609528272 to MIND REPOSE LLC on January 25, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The NPI data also shows multiple names associated with this provider such as Blue Rose Detox Mansion and 2 other listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
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 MIND REPOSE LLC below.
NPI Profile for
MIND REPOSE LLC
(more than 4 years ago)
All associated names:
Blue Rose Detox Mansion
Mind Repose LLC
The Historic Blue Rose Recovery Mansion
PASS CHRISTIAN, MS 39571-4420 Phone: (480) 300-2655 Fax:
NEW YORK, NY 10022-7649 Phone: (480) 300-2655 Fax:
CEO
Phone: (480) 300-2655
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for MIND REPOSE 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | STATE OF MISSISSIPPI | MS | 1134710817 |
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.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
- Endpoint
- SharePoint
- Endpoint type
- SOAP URL
- Endpoint Description
- CLOSED SYSTEM
- Content Type
- CSV
- Affiliation
- N
- Endpoint Location
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120 W SCENIC DR,
PASS CHRISTIAN, MS 77025-1669