BROOKHAVEN MS OPERATING LLC
NPI 1942018833
Intermediate Care Facility, Intellectual Disabilities in Brookhaven, MS
About Brookhaven Ms Operating Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKHAVEN MS OPERATING LLC (NPI 1942018833), doing business as Lincoln Residential Center, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Brookhaven, Mississippi and active in the NPI registry since December 2024. The organization lists Moishe Mayer, Authorized Signatory, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, MS 39601
BROOKHAVEN, MS 39601
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 Brookhaven Ms Operating LLC's NPI number?
The NPI number for Brookhaven Ms Operating LLC is 1942018833. It was assigned to this organization in the NPPES registry on December 23, 2024. The provider is doing business as Lincoln Residential Center.
Where is Brookhaven Ms Operating LLC located?
Brookhaven Ms Operating LLC is located at 524 Brookman Dr, Brookhaven, MS 39601. The listed phone number is (601) 835-1884.
What is Brookhaven Ms Operating LLC'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 Brookhaven Ms Operating LLC was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Brookhaven Ms Operating Llc · NPI 1942018833
Intermediate Care Facility, Intellectual Disabilities organization in Brookhaven, Mississippi. Organization record, active in the CMS NPPES registry since December 23, 2024.
## Identity
- **NPI:** 1942018833 (Entity type: Organization)
- **Enumerated:** December 23, 2024
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Also known as:** Lincoln Residential Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Moishe Mayer, AUTHORIZED SIGNATORY
## Practice location
- **Address:** 524 BROOKMAN DR, Brookhaven, MS 39601-2384
- **Phone:** (601) 835-1884
## Record status
- **NPPES last updated:** December 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942018833) · Data from the CMS NPPES public registry.