JACQUELINE HANNAH
NPI 1528447471
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Indianola, MS

Q: What is Jacqueline Hannah's NPI number?

The NPI number for Jacqueline Hannah is 1528447471. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Q: What is Jacqueline Hannah's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Hannah was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 26, 2015

924 BROADMOOR DR, INDIANOLA, MS 38751(662) 207-9842 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Hannah NPPES

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

JACQUELINE HANNAH (NPI 1528447471) is an individual assisted living, behavioral disturbances provider in Indianola, Mississippi and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1528447471

Entity TypeIndividualFemale

Primary Taxonomy3104A0630X

Provider Legal NameJACQUELINE HANNAH

Location Address924 BROADMOOR DRIndianola, MS 38751-3608

Mailing Address924 Broadmoor DrIndianola, MS 38751-3608 · (662) 207-9842

Phone(662) 207-9842

Sole ProprietorYes

Enumeration DateMay 26, 2015

Last NPPES UpdateMarch 9, 2017

✔ NPI 1528447471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

924 BROADMOOR DR, Indianola, MS 38751

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Other Providers at the Same Location NPPES

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

ELISE'S PLACE ADC

Clinic/Center (Adult Day Care)

924 BROADMOOR DR
INDIANOLA, MS 38751

Sunflower County (662) 207-9842

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 Jacqueline Hannah's NPI number?

The NPI number for Jacqueline Hannah is 1528447471. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Jacqueline Hannah located?

Jacqueline Hannah practices at 924 Broadmoor Dr, Indianola, MS 38751. The listed phone number is (662) 207-9842.

What is Jacqueline Hannah's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Jacqueline Hannah was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.