BUCKMAN ENRICHMENT HOME
NPI 1942636998
Assisted Living Facility in Senatobia, MS

Active since September 23, 2013CLIA 25D2194323 · Waiver
3297 HIGHWAY 51 S, SENATOBIA, MS 38668(662) 562-0100 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Buckman Enrichment Home NPPES

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

BUCKMAN ENRICHMENT HOME (NPI 1942636998) is a healthcare organization registered as an assisted living facility in Senatobia, Mississippi and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Parke Daniel Pepper, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1942636998
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBUCKMAN ENRICHMENT HOME
Location Address3297 HIGHWAY 51 SSenatobia, MS 38668-2926
Mailing AddressPo Box 97Senatobia, MS 38668-0097 · (662) 562-0100
Organization SubpartYesParent: The Baddour Center, Inc.
Authorized OfficialParke Daniel PepperExecutive Director · (662) 366-6920
Enumeration DateSeptember 23, 2013
Last NPPES UpdateMarch 2, 2016
NPI 1942636998 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 · 1074
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.

3297 HIGHWAY 51 S, Senatobia, MS 38668

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 25D2194323

Buckman Enrichment House · Senatobia, MS
Active · expires Sep 29, 2026
CLIA Number25D2194323
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorDr. Michael B. Bagwell
Laboratory Phone(662) 562-0100
Laboratory LocationBuckman Enrichment House102 Enrichment Cove, Senatobia, MS 38668
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner
3297 HIGHWAY 51 S
SENATOBIA, MS 38668
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3297 HIGHWAY 51 S
SENATOBIA, MS 38668

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 Buckman Enrichment Home's NPI number?

The NPI number for Buckman Enrichment Home is 1942636998. It was assigned to this organization in the NPPES registry on September 23, 2013.

Where is Buckman Enrichment Home located?

Buckman Enrichment Home is located at 3297 Highway 51 S, Senatobia, MS 38668. The listed phone number is (662) 562-0100.

What is Buckman Enrichment Home's specialty?

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

Does Buckman Enrichment Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2194323) is associated with this NPI, valid through September 29, 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 Buckman Enrichment Home was last updated on March 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.