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CENTER FOR FAMILY LIFE EXTENSION, INC.
NPI 1053682724
Residential Treatment Facility, Emotionally Disturbed Children in Jackson, MS

Active since January 26, 2012
1980 HIGHWAY 80 W, JACKSON, MS 39204(601) 259-5745(601) 871-8223 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Center For Family Life Extension, Inc. NPPES

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

CENTER FOR FAMILY LIFE EXTENSION, INC. (NPI 1053682724) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Jackson, Mississippi and active in the NPI registry since January 2012. The organization lists Elmina Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1053682724
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameCENTER FOR FAMILY LIFE EXTENSION, INC.
Location Address1980 HIGHWAY 80 WJackson, MS 39204-2303
Mailing Address1980 Highway 80 WJackson, MS 39204-2303 · (601) 259-5745
Phone(601) 259-5745
Fax(601) 871-8223
Organization SubpartNo
Authorized OfficialElmina JohnsonOwner · (601) 259-5745
Enumeration DateJanuary 26, 2012
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1053682724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in MS · CYS-CFL-TGH-01
Definition
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.
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X · License CYS-CFL-TGH-01 (MS)
1980 HIGHWAY 80 W, Jackson, MS 39204
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Other Providers at the Same Location NPPES 2

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

CENTER FOR FAMILY LIFE EXTENSIONS, INC.
Community/Behavioral Health
1980 HIGHWAY 80 W
JACKSON, MS 39204
Hinds County (601) 259-5745
TIFFANY MARIE GRIFFIN
Technician (Attendant Care Provider)
1980 HIGHWAY 80 W
JACKSON, MS 39204
Hinds County (601) 500-6737

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 Center For Family Life Extension, Inc.'s NPI number?

The NPI number for Center For Family Life Extension, Inc. is 1053682724. It was assigned to this organization in the NPPES registry on January 26, 2012.

Where is Center For Family Life Extension, Inc. located?

Center For Family Life Extension, Inc. is located at 1980 Highway 80 W, Jackson, MS 39204. The listed phone number is (601) 259-5745.

What is Center For Family Life Extension, Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Center For Family Life Extension, Inc. was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.