Restoration Essence of a Lady Shelter, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RESTORATION ESSENCE OF A LADY SHELTER, LLC

Doing business as

Restoration Children Facilities INC

Practice address

994 Bankhead Dr
Belzoni, MS 39038

Phone

(662) 318-5018

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

RESTORATION CHILDREN FACILITIES INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lakendra Ayana Wilson

Title

Director

Phone

(662) 303-1800

Specialties & licenses 1

Addresses

Other names 1

• Restoration Children Facilities INC Doing business as

Part of

Restoration Children Facilities Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Restoration Children Facilities Inc

  dba Restoration Essence of a Lady Acute PHP

  • Community/Behavioral Health Agency
  • Belzoni, MS
  • NPI 1245975499
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1073248795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CAMELLIA LN",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512604",
            "telephone_number": "662-303-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 BANKHEAD DR",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "39038",
            "telephone_number": "662-318-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION ESSENCE OF A LADY SHELTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESTORATION CHILDREN FACILITIES INC",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAKENDRA",
        "authorized_official_middle_name": "AYANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-303-1800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Children Facilities INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Quality Healthcare Management, LLC
• RCG Mississippi, Inc. (RCG Belzoni)
• Restoration Children Facilities Inc (Restoration Essence of a Lady Acute PHP)
• Restoration CMHC Partial Hospitalization Program, Corp
• Restoration Community Development Corp. (Restoration Children Facilities)
• Baylee Richardson, PA-C
• Rise Up Facilities
• Rise Up Facilities
• Monica Victoria Robinson
• Sheltered Arms Behavioral Health LLC

• Community/Behavioral Health Agency in Belzoni, MS
• Providers in Belzoni, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.