Shirley'S Assisted Living

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

1014 Issued in MS

Legal business name

SHIRLEY'S ASSISTED LIVING

Practice address

1000 BB King Rd
Indianola, MS 38751-3606

Phone

(662) 887-3000

Fax

(662) 887-3500

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley MonroeNPI 1851671952

Title

Owner

Phone

(662) 887-3000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Monroe

  • Personal Care Attendant
  • Indianola, MS
  • NPI 1851671952
  NPD (past) Authorized official

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1316227580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BB KING RD",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387513606",
            "telephone_number": "662-887-3000",
            "fax_number": "662-887-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BB KING RD",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387513606",
            "telephone_number": "662-887-3000",
            "fax_number": "662-887-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-887-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MS",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter H Rose, M.D.
• Terrie R Rowland, CFNP
• Patricia Scott
• Serenity Personal Care Home and
• Emilly Shephard
• Lee Taylor Skelton, DNP, CRNA
• Kristen Smith
• SNJ Transportation, LLC
• Robyn Soignier
• South Sunflower County Hospital

• Assisted Living Facility (Mental Illness) in Indianola, MS
• Providers in Indianola, MS by specialty
• Assisted Living Facility (Mental Illness) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.