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JAMES WILSON
NPI 1992369102
Assisted Living Facility - Assisted Living, Mental Illness in Louisville, MS

Active since April 24, 2019
15986 W MAIN ST, LOUISVILLE, MS 39339(662) 705-5111 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Wilson NPPES

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

JAMES WILSON (NPI 1992369102) is an individual assisted living, mental illness provider in Louisville, Mississippi and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1992369102
Entity TypeIndividualMale
Primary Taxonomy3104A0625X
Provider Legal NameJAMES WILSON
Location Address15986 W MAIN STLouisville, MS 39339-2636
Mailing AddressPo Box 5101Jackson, MS 39296-5101
Phone(662) 705-5111
Sole ProprietorYes
Enumeration DateApril 24, 2019
✔ NPI 1992369102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
15986 W MAIN ST, Louisville, MS 39339
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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 James Wilson's NPI number?

The NPI number for James Wilson is 1992369102. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is James Wilson located?

James Wilson practices at 15986 W Main St, Louisville, MS 39339. The listed phone number is (662) 705-5111.

What is James Wilson's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for James Wilson was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.