METHODIST HOME ROAD ASSISTED LIVING
NPI 1215341979
Community Based Residential Treatment Facility, Mental Illness in Jackson, MS

Active since June 19, 2014
4560 METHODIST HOME RD, JACKSON, MS 39213(769) 257-7232(769) 257-7745 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Methodist Home Road Assisted Living NPPES

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

METHODIST HOME ROAD ASSISTED LIVING (NPI 1215341979) is a healthcare organization registered as a community based residential treatment facility, mental illness in Jackson, Mississippi and active in the NPI registry since June 2014. The organization lists Kiara Lashae Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1215341979
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMETHODIST HOME ROAD ASSISTED LIVING
Location Address4560 METHODIST HOME RDJackson, MS 39213-4201
Mailing Address4560 Methodist Home RdJackson, MS 39213-4201
Fax(769) 257-7745
Organization SubpartNo
Authorized OfficialKiara Lashae JohnsonManager · (601) 918-6415
Enumeration DateJune 19, 2014
NPI 1215341979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4560 METHODIST HOME RD, Jackson, MS 39213

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.

Registered Nurse
4560 METHODIST HOME RD
JACKSON, MS 39213
Respite Care
4560 METHODIST HOME RD
JACKSON, MS 39213

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 Methodist Home Road Assisted Living's NPI number?

The NPI number for Methodist Home Road Assisted Living is 1215341979. It was assigned to this organization in the NPPES registry on June 19, 2014.

Where is Methodist Home Road Assisted Living located?

Methodist Home Road Assisted Living is located at 4560 Methodist Home Rd, Jackson, MS 39213. The listed phone number is (769) 257-7232.

What is Methodist Home Road Assisted Living's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Methodist Home Road Assisted Living was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.