SHANELL'S RESIDENTIAL CARE HOME, INC. (ASSISTANT LIVING)
NPI 1528359189
Assisted Living Facility in Jackson, MS

Q: What is Shanell's Residential Care Home, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 29, 2011

4022 CALIFORNIA AVE, JACKSON, MS 39213(601) 362-4549 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shanell's Residential Care Home, Inc. (assistant Living) NPPES

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

SHANELL'S RESIDENTIAL CARE HOME, INC. (ASSISTANT LIVING) (NPI 1528359189) is a healthcare organization registered as an assisted living facility in Jackson, Mississippi and active in the NPI registry since April 2011. The organization lists Carnell Kitchens, President, as its authorized official.

NPPES Registry Identity

NPI1528359189

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSHANELL'S RESIDENTIAL CARE HOME, INC.

Location Address4022 CALIFORNIA AVEJackson, MS 39213-5513

Mailing AddressPo Box 83040Jackson, MS 39283-3040 · (601) 362-4549 · Fax (601) 713-3513

Phone(601) 362-4549

Organization SubpartNo

Authorized OfficialCarnell KitchensPresident · (601) 259-4602

Enumeration DateApril 29, 2011

✔ NPI 1528359189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MS · 1035

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

4022 CALIFORNIA AVE, Jackson, MS 39213

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Other Names 1

Doing Business AsShanell's Residential Care Home, Inc. (assistant Living)

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 Shanell's Residential Care Home, Inc.'s NPI number?

The NPI number for Shanell's Residential Care Home, Inc. is 1528359189. It was assigned to this organization in the NPPES registry on April 29, 2011. The provider is doing business as Shanell's Residential Care Home, Inc. (assistant Living).

Where is Shanell's Residential Care Home, Inc. located?

Shanell's Residential Care Home, Inc. is located at 4022 California Ave, Jackson, MS 39213. The listed phone number is (601) 362-4549.

What is Shanell's Residential Care Home, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shanell's Residential Care Home, Inc. was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.