PERSONAL CARE HOME OF WIGGINS NPI 1386950145

NPI Information

  • NPI: 1386950145
  • Provider Name: PERSONAL CARE HOME OF WIGGINS
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 918 PARKWAY DR
    WIGGINS, MS
    ZIP 39577
  • Phone: (601) 928-4663

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NPI Details

PERSONAL CARE HOME OF WIGGINS is an assisted living and mental illness assisted living facility in Wiggins, MS. The provider is 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. PERSONAL CARE HOME OF WIGGINS NPI is 1386950145. The provider is registered as an organization entity type.

The provider's business location address is:

918 PARKWAY DR
WIGGINS, MS
ZIP 39577-750
Phone: (601) 928-4663
Fax: (601) 928-4668

The provider's authorized official is Angela C Harris .
The authorized official title is Owner/administrator and has the following contact phone number (601) 325-4577.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility1038MISSISSIPPINo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances1038MISSISSIPPINo
33104A0625XAssisted Living FacilityAssisted Living, Mental Illness1038MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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