HARBOR HOUSE CHEMICAL DEPENDENCY SERVICES
NPI 1669603593
Substance Abuse Rehabilitation Facility in Jackson, MS

Active since July 27, 2009CLIA 25D2056533 · Waiver
5354 I 55 S, JACKSON, MS 39272(601) 714-1640(601) 371-3272 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harbor House Chemical Dependency Services NPPES

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

HARBOR HOUSE CHEMICAL DEPENDENCY SERVICES (NPI 1669603593) is a healthcare organization registered as a substance abuse rehabilitation facility in Jackson, Mississippi and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Milton Trost Friedler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669603593
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHARBOR HOUSES OF JACKSON, INC.
Location Address5354 I 55 SJackson, MS 39272-9119
Mailing AddressPo Box 2917Jackson, MS 39207-2917 · (601) 714-1640 · Fax (601) 371-3217
Fax(601) 371-3272
Organization SubpartNo
Authorized OfficialMilton Trost FriedlerExecutive Director · (601) 714-1640
Enumeration DateJuly 27, 2009
NPI 1669603593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
5354 I 55 S, Jackson, MS 39272

Other Names 1

Doing Business AsHarbor House Chemical Dependency Services

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2056533

Harbor Houses Of Jackson Inc · Jackson, MS
Active · expires Mar 27, 2027
CLIA Number25D2056533
Laboratory TypeAlcohol & Drug Treatment
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorAnn Fisher
Laboratory Phone(601) 371-7335
Laboratory LocationHarbor Houses Of Jackson Inc5354 I-55 South Frontage Rd E, Jackson, MS 39272
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Harbor Houses Of Jackson, Inc.'s NPI number?

The NPI number for Harbor Houses Of Jackson, Inc. is 1669603593. It was assigned to this organization in the NPPES registry on July 27, 2009. The provider is doing business as Harbor House Chemical Dependency Services.

Where is Harbor Houses Of Jackson, Inc. located?

Harbor Houses Of Jackson, Inc. is located at 5354 I 55 S, Jackson, MS 39272. The listed phone number is (601) 714-1640.

What is Harbor Houses Of Jackson, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Harbor Houses Of Jackson, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2056533) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Harbor Houses Of Jackson, Inc. was last updated on July 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.