Organization Active NPI

House of Faith LLC

  • Assisted Living Facility (Mental Illness)
  • Jackson, MS
National Provider Identifier
1215225149
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
HOUSE OF FAITH LLC
Practice address
928 Hunt St
Jackson, MS 39203-2908
Phone
(601) 720-6692
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Ms. Faith A Hadley
Title
Director
Phone
(601) 720-6692

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

928 Hunt St
Jackson, MS 39203-2908

Mailing address

120 Falcon Ridge Dr
Raymond, MS 39154-9613
Phone (601) 720-6692

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1215225149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FALCON RIDGE DR",
            "city": "RAYMOND",
            "state": "MS",
            "postal_code": "391549613",
            "telephone_number": "601-720-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 HUNT ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392032908",
            "telephone_number": "601-720-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF FAITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-720-6692",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 12, 2011; 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.