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WILLOWOOD DEVELOPMENTAL CENTER
NPI 1174991855
Day Training, Developmentally Disabled Services in Jackson, MS

Active since September 11, 2015CLIA 25D2267789 · Waiver
1635 BOLING ST, JACKSON, MS 39213(601) 366-0123(601) 366-0149 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowood Developmental Center NPPES

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

WILLOWOOD DEVELOPMENTAL CENTER (NPI 1174991855) is a healthcare organization registered as a day training, developmentally disabled services in Jackson, Mississippi and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Curtis E. Alford, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174991855
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameWILLOWOOD DEVELOPMENTAL CENTER
Location Address1635 BOLING STJackson, MS 39213-4418
Mailing Address1635 Boling StJackson, MS 39213-4418 · (601) 366-0123 · Fax (601) 366-0149
Phone(601) 366-0123
Fax(601) 366-0149
Organization SubpartNo
Authorized OfficialCurtis E. AlfordExecutive Director · (601) 366-0123
Enumeration DateSeptember 11, 2015
✔ NPI 1174991855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in MS · WDC-PVS-WAC-DSA-01
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
1635 BOLING ST, Jackson, MS 39213
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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 25D2267789

Willowood Developmental Center · Jackson, MS
Active · expires Aug 30, 2026
CLIA Number25D2267789
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorKaren J. Day
Laboratory Phone(601) 366-0123
Laboratory LocationWillowood Developmental Center1635 Boling St, Jackson, MS 39213
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MRS. KECIA SPENCER RAY O.T.R.
Specialist
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123
OWEN MULLEN ST
Specialist/Technologist
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123
MRS. STEPHANIE PIERONI OLIVER MS, CCC-SLP
Speech-Language Pathologist
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123
KAREN JANE DAY
Registered Nurse
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123
MISS DEBORAH M SEBRELL M.A., CCC/SLP
Speech-Language Pathologist
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123
WILLOWOOD DEVELOPMENTAL CENTER
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123
MRS. WHITNEY HERRON NESBIT OTR/L
Occupational Therapist (Pediatrics)
1635 BOLING ST
JACKSON, MS 39213
Hinds County (601) 366-0123

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 Willowood Developmental Center's NPI number?

The NPI number for Willowood Developmental Center is 1174991855. It was assigned to this organization in the NPPES registry on September 11, 2015.

Where is Willowood Developmental Center located?

Willowood Developmental Center is located at 1635 Boling St, Jackson, MS 39213. The listed phone number is (601) 366-0123.

What is Willowood Developmental Center's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Does Willowood Developmental Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2267789) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Willowood Developmental Center was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.