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ELLISVILLE STATE SCHOOL
NPI 1285947408
Intermediate Care Facility, Intellectual Disabilities in Ellisville, MS

Active since July 16, 2010
1101 HWY 11 S, ELLISVILLE, MS 39437(601) 477-5607(601) 477-5700 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellisville State School NPPES

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

ELLISVILLE STATE SCHOOL (NPI 1285947408) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ellisville, Mississippi and active in the NPI registry since July 2010. The organization lists Rene'e Brett, Director, as its authorized official.

NPPES Registry Identity

NPI1285947408
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameELLISVILLE STATE SCHOOL
Location Address1101 HWY 11 SEllisville, MS 39437-4443
Mailing Address1101 Hwy 11 SEllisville, MS 39437-4443 · (601) 477-5607 · Fax (601) 477-5700
Phone(601) 477-5607
Fax(601) 477-5700
Organization SubpartNo
Authorized OfficialRene'e BrettDirector · (601) 477-5595
Enumeration DateJuly 16, 2010
Last NPPES UpdateJanuary 27, 2011
✔ NPI 1285947408 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
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1101 HWY 11 S, Ellisville, MS 39437
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Other Identifiers 1

Medicaid05850722MS

Other Providers at the Same Location NPPES 3

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

ELLISVILLE STATE SCHOOL
Intermediate Care Facility, Intellectual Disabilities
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5770
MRS. STEPHANIE D. SMITH CFNP
Nurse Practitioner (Family)
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5770
ELLISVILLE STATE SCHOOL
Clinic/Center
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-9384

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 Ellisville State School's NPI number?

The NPI number for Ellisville State School is 1285947408. It was assigned to this organization in the NPPES registry on July 16, 2010.

Where is Ellisville State School located?

Ellisville State School is located at 1101 Hwy 11 S, Ellisville, MS 39437. The listed phone number is (601) 477-5607.

What is Ellisville State School'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 Ellisville State School was last updated on January 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.