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ASSISTED/EXTENDED STAY FACILITY
NPI 1033508809
Assisted Living Facility in Louisville, MS

Active since January 17, 2015
803 W MAIN ST, LOUISVILLE, MS 39339(662) 705-5031(662) 705-5034 Get Directions Write a Review

NPPES record last updated: January 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Assisted/extended Stay Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSISTED/EXTENDED STAY FACILITY (NPI 1033508809) is a healthcare organization registered as an assisted living facility in Louisville, Mississippi and active in the NPI registry since January 2015. The organization lists Beatrice A Ezem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033508809
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEMMANUEL RIDGE HOUSING INC
Location Address803 W MAIN STLouisville, MS 39339-2539
Mailing Address750 Boling St, Suite HJackson, MS 39209-2652 · (769) 233-7439 · Fax (769) 251-0257
Phone(662) 705-5031
Fax(662) 705-5034
Organization SubpartNo
Authorized OfficialBeatrice A EzemCeo · (601) 927-9839
Enumeration DateJanuary 17, 2015
✔ NPI 1033508809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
803 W MAIN ST, Louisville, MS 39339
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Other Names 1

Doing Business AsAssisted/extended Stay Facility

Other Identifiers 3

Medicaid07123515MS
Medicaid08762218MS
Medicaid03630719MS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JRS&J ADULT CARE CENTER, INC.
Assisted Living Facility
803 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 773-5905
EMMANUEL RIDGE OF LOUISVILLE MS INC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
803 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 705-5031
JRS&J ADULT CARE CENTER, INC
Assisted Living Facility
803 W MAIN ST
LOUISVILLE, MS 39339
Winston County (662) 773-8750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Ridge Housing Inc's NPI number?

The NPI number for Emmanuel Ridge Housing Inc is 1033508809. It was assigned to this organization in the NPPES registry on January 17, 2015. The provider is doing business as Assisted/Extended Stay Facility.

Where is Emmanuel Ridge Housing Inc located?

Emmanuel Ridge Housing Inc is located at 803 W Main St, Louisville, MS 39339. The listed phone number is (662) 705-5031.

What is Emmanuel Ridge Housing Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Emmanuel Ridge Housing Inc was last updated on January 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.