Active NPI
Positive Living, Inc.
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Jackson, MS
National Provider Identifier
1114291929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- POSITIVE LIVING, INC.
- Practice address
- 3811 W Northside Dr
Jackson, MS 39209-2560 - Phone
- (601) 209-7990
- Fax
- (601) 366-5949
- NPI assigned
- Feb 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia B Magee
- Title
- Director
- Phone
- (601) 209-7990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
3811 W Northside Dr
Jackson, MS 39209-2560
Mailing address
PO Box 11503
Jackson, MS 39283-1503
Phone (601) 209-7990
National Provider Directory
National Provider Directory- Tax ID family
- Positive Living Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Jackson, MS
- NPI 1205230067
Locations
3811 W Northside Dr
Jackson, MS 39209
Phone (601) 209-7990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330300800000",
"number": "1114291929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11503",
"city": "JACKSON",
"state": "MS",
"postal_code": "392831503",
"telephone_number": "601-209-7990",
"fax_number": "601-366-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 W NORTHSIDE DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392092560",
"telephone_number": "601-209-7990",
"fax_number": "601-366-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-27",
"last_updated": "2012-02-27",
"status": "A",
"authorized_official_last_name": "MAGEE",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "601-209-7990"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.