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
An intermediate care facility providing services for individuals with intellectual disabilities.
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
The NPI number assigned to this healthcare provider is 1174505010, enumerated as an "organization" on November 16, 2005.
The provider is located at 524 BROOKMAN DR BROOKHAVEN, MS 39601 and the phone number is (601) 835-1884.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
