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ELLISVILLE STATE SCHOOL
NPI 1811135718
Intermediate Care Facility, Intellectual Disabilities in Ellisville, MS

Active since January 30, 2009
1101 HWY 11 S, ELLISVILLE, MS 39437(601) 477-5770(601) 477-5895 Get Directions Write a Review

NPPES record last updated: January 30, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ellisville State School NPPES

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

ELLISVILLE STATE SCHOOL (NPI 1811135718) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ellisville, Mississippi and active in the NPI registry since January 2009. The organization lists Stephanie D. Smith, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1811135718
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) 477-5770 · Fax (601) 477-5895
Phone(601) 477-5770
Fax(601) 477-5895
Organization SubpartNo
Authorized OfficialStephanie D. SmithFamily Nurse Practitioner · (601) 477-5770
Enumeration DateJanuary 30, 2009
✔ NPI 1811135718 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
License✔ Licensed in MS · R865285
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1101 HWY 11 S, Ellisville, MS 39437
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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.

MRS. STEPHANIE D. SMITH CFNP
Nurse Practitioner (Family)
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5770
ELLISVILLE STATE SCHOOL
Intermediate Care Facility, Intellectual Disabilities
1101 HWY 11 S
ELLISVILLE, MS 39437
Jones County (601) 477-5607
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 1811135718. It was assigned to this organization in the NPPES registry on January 30, 2009.

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) 477-5770.

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 30, 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.