LINCOLN RESIDENTIAL CENTER
NPI 1174505010
Intermediate Care Facility, Intellectual Disabilities in Brookhaven, MS
About Lincoln Residential Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LINCOLN RESIDENTIAL CENTER (NPI 1174505010) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Brookhaven, Mississippi and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Jamie Latture Collier, Director Of Reimbursement, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2215533
Lincoln Residential · Brookhaven, MSOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, MS 39601
BROOKHAVEN, MS 39601
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 Preferred Care Developmental Centers Of Ms I Inc's NPI number?
The NPI number for Preferred Care Developmental Centers Of Ms I Inc is 1174505010. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is doing business as Lincoln Residential Center.
Where is Preferred Care Developmental Centers Of Ms I Inc located?
Preferred Care Developmental Centers Of Ms I Inc is located at 524 Brookman Dr, Brookhaven, MS 39601. The listed phone number is (601) 835-1884.
What is Preferred Care Developmental Centers Of Ms I Inc's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Preferred Care Developmental Centers Of Ms I Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2215533) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Preferred Care Developmental Centers Of Ms I Inc was last updated on June 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lincoln Residential Center · NPI 1174505010
Intermediate Care Facility, Intellectual Disabilities organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1174505010 (Entity type: Organization)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Legal business name:** Preferred Care Developmental Centers Of Ms I Inc
- **Organization subpart:** No
- **Authorized official:** Jamie Collier, DIRECTOR OF REIMBURSEMENT
## Practice location
- **Address:** 524 BROOKMAN DR, Brookhaven, MS 39601-2384
- **Phone:** (601) 835-1884 · **Fax:** (601) 833-0430
## Record status
- **NPPES last updated:** June 28, 2011
- **Other identifiers:** Medicaid 00220055 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174505010) · Data from the CMS NPPES public registry.