SHIRLEY'S ASSISTED LIVING
NPI 1316227580
Assisted Living Facility - Assisted Living, Mental Illness in Indianola, MS

Active since August 19, 2011
1000 BB KING RD, INDIANOLA, MS 38751(662) 887-3000(662) 887-3500 Get Directions Write a Review

NPPES record last updated: August 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley's Assisted Living NPPES

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

SHIRLEY'S ASSISTED LIVING (NPI 1316227580) is a healthcare organization registered as an assisted living, mental illness in Indianola, Mississippi and active in the NPI registry since August 2011. The organization lists Shirley Monroe, Owner, as its authorized official.

NPPES Registry Identity

NPI1316227580
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSHIRLEY'S ASSISTED LIVING
Location Address1000 BB KING RDIndianola, MS 38751-3606
Mailing Address1000 Bb King RdIndianola, MS 38751-3606 · (662) 887-3000 · Fax (662) 887-3500
Fax(662) 887-3500
Organization SubpartNo
Authorized OfficialShirley MonroeOwner · (662) 887-3000
Enumeration DateAugust 19, 2011
NPI 1316227580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in MS · 1014
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
1000 BB KING RD, Indianola, MS 38751

Other Providers at the Same Location NPPES

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

Technician (Personal Care Attendant)
1000 BB KING RD
INDIANOLA, MS 38751

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 Shirley's Assisted Living's NPI number?

The NPI number for Shirley's Assisted Living is 1316227580. It was assigned to this organization in the NPPES registry on August 19, 2011.

Where is Shirley's Assisted Living located?

Shirley's Assisted Living is located at 1000 Bb King Rd, Indianola, MS 38751. The listed phone number is (662) 887-3000.

What is Shirley's Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Shirley's Assisted Living was last updated on August 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.