CHARLESTON PLACE
NPI 1881831584
Assisted Living Facility in Fulton, MS

Active since January 16, 2009CLIA 25D2193646 · Waiver
804 S ADAMS ST, FULTON, MS 38843(662) 862-2465(662) 862-9525 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charleston Place NPPES

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

CHARLESTON PLACE (NPI 1881831584) is a healthcare organization registered as an assisted living facility in Fulton, Mississippi and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through September 22, 2026 and lists Jackie Jones, Financial Cordinator, as its authorized official.

NPPES Registry Identity

NPI1881831584
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHARLESTON PLACE
Location Address804 S ADAMS STFulton, MS 38843-6049
Mailing AddressPo Box 127Fulton, MS 38843-0127 · (662) 862-2465 · Fax (662) 862-9592
Fax(662) 862-9525
Organization SubpartYesParent: Daniel Health Care, Inc.
Authorized OfficialJackie JonesFinancial Cordinator · (662) 862-2165
Enumeration DateJanuary 16, 2009
Last NPPES UpdateOctober 27, 2014
NPI 1881831584 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 · 1017
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.

804 S ADAMS ST, Fulton, MS 38843

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 25D2193646

Charleston Place Assisted Living · Fulton, MS
Active · expires Sep 22, 2026
CLIA Number25D2193646
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorMelisa K. Evans
Laboratory Phone(662) 862-2465
Laboratory LocationCharleston Place Assisted Living804 South Adams St, Fulton, MS 38843
CLIA data matches this NPI record on: Address Name Phone
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 Charleston Place's NPI number?

The NPI number for Charleston Place is 1881831584. It was assigned to this organization in the NPPES registry on January 16, 2009.

Where is Charleston Place located?

Charleston Place is located at 804 S Adams St, Fulton, MS 38843. The listed phone number is (662) 862-2465.

What is Charleston Place's specialty?

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

Does Charleston Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2193646) is associated with this NPI, valid through September 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Charleston Place was last updated on October 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.