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LINCOLN RESIDENTIAL CENTER
NPI 1174505010
Intermediate Care Facility, Intellectual Disabilities in Brookhaven, MS

Active since November 16, 2005
524 BROOKMAN DR, BROOKHAVEN, MS 39601(601) 835-1884(601) 833-0430 Get Directions Write a Review

NPPES record last updated: June 28, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 lists Jamie Latture Collier, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1174505010
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePREFERRED CARE DEVELOPMENTAL CENTERS OF MS I INC
Location Address524 BROOKMAN DRBrookhaven, MS 39601-2384
Mailing Address5420 W Plano PkwyPlano, TX 75093-4823 · (972) 931-3800 · Fax (972) 767-6222
Phone(601) 835-1884
Fax(601) 833-0430
Organization SubpartNo
Authorized OfficialJamie Latture CollierDirector Of Reimbursement · (972) 931-3800
Enumeration DateNovember 16, 2005
Last NPPES UpdateJune 28, 2011
✔ NPI 1174505010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MS · 629
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
524 BROOKMAN DR, Brookhaven, MS 39601
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Other Names 1

Doing Business AsLincoln Residential Center

Other Identifiers 1

Medicaid00220055MS

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.

BROOKHAVEN MS OPCO LLC
Intermediate Care Facility, Intellectual Disabilities
524 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 835-1884
BROOKHAVEN MS OPERATING LLC
Intermediate Care Facility, Intellectual Disabilities
524 BROOKMAN DR
BROOKHAVEN, MS 39601
Lincoln County (601) 835-1884

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.

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.