Northside Haven Association, Inc. in Lexington - Assisted Living Facility

Northside Haven Association, Inc. - NPI 1063530467

Northside Haven Association, Inc. is a Assisted Living Facility in Lexington, Mississippi. Northside Haven Association, Inc. practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Northside Haven Association, Inc. is 1063530467. The last update date is 2007-12-11.

Northside Haven Association, Inc.'s current location address is 50 Patton Place Rd, Lexington, Mississippi. You can contact this provider via phone number 6628343344 and fax number 6628343314. The mailing address for Northside Haven Association, Inc. is 50 Patton Place Rd, Lexington, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northside Haven Association, Inc.
Address 50 Patton Place Rd, Lexington, Mississippi
Phone Number 6628343344
Fax Number 6628343314
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Whatley Montgomery Zelpha
Telephone Number 6628343344

NPI Number Detail

NPI Number 1063530467
Provider Enumeration Date 2007-03-26
Last Updated Date 2007-12-11

Provider Mailing Address Detail

Address 50 Patton Place Rd
City Lexington
State Mississippi (MS)
Post Code 390955851
Phone Number 6628343344
Fax Number 6628343314

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 992
Definition:
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9350005 MS --

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FAQs about Northside Haven Association, Inc.

What is the unique 10-digit identifier code issued to Northside Haven Association, Inc. by the Centers for Medicare & Medicaid Services?

The Northside Haven Association, Inc. has been assigned the NPI (National Provider Identifier) 1063530467 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Northside Haven Association, Inc.?

The Northside Haven Association, Inc. is situated at 50 Patton Place Rd, in the city of Lexington, state of MS, with the zip code 390955851.

What is Northside Haven Association, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Northside Haven Association, Inc. is Assisted Living Facility, and the taxonomy classification code that categorizes this area of expertise is 310400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1063530467 to Northside Haven Association, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1063530467 to Northside Haven Association, Inc. on 2007-03-26.

As of what date were the details pertaining to Northside Haven Association, Inc. last refreshed?

The information related to the Northside Haven Association, Inc., including its address, specialty, and other relevant details, was last updated on 2007-12-11.

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