Lapearls Residential and Private Care Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY

Practice address

2634 E Lake Blvd Apt 9-9
Robinsonville, MS 38664-8916

Phone

(662) 373-4422

NPI assigned

Feb 7, 2016

Organization subpart

No

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

Authorized official

Name

Miss Conswayda L Merritt

Title

Owner/Operator

Phone

(662) 373-4422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1336507284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2634 E LAKE BLVD APT 9-9",
            "city": "ROBINSONVILLE",
            "state": "MS",
            "postal_code": "386648916",
            "telephone_number": "662-373-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 E LAKE BLVD APT 9-9",
            "city": "ROBINSONVILLE",
            "state": "MS",
            "postal_code": "386648916",
            "telephone_number": "662-373-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "CONSWAYDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "662-373-4422",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ealy, NP
• Daniella S Ellis, FNP
• Melanie Jo Hill, MSN, APRN, FNP-BC
• Leslie Yvette Horton
• Bobby Young Joe, M.D.
• Shaletha Martin, NP
• Garnette Miller, DNP FNP BC
• Premise Health of Mississippi Medical PC (Caesars Health and Wellness Center Tunica)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Robinsonville, MS
• Providers in Robinsonville, MS by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; 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.