Savior of Life Therapeutic Residential Group Home

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

CYS-SOL-TGH-02 Issued in MS

Legal business name

SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME

Practice address

411 Naples Rd
Jackson, MS 39206-5918

Phone

(601) 398-2974

Fax

(601) 487-6227

NPI assigned

Jan 31, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Lambert Wright, BSW

Title

Social Worker/Founder

Phone

(601) 454-6419

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1386916864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 NAPLES RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065918",
            "telephone_number": "601-398-2974",
            "fax_number": "601-487-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 NAPLES RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392065918",
            "telephone_number": "601-398-2974",
            "fax_number": "601-487-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "SOCIAL WORKER/FOUNDER",
        "authorized_official_telephone_number": "601-454-6419",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MS",
            "license": "CYS-SOL-TGH-02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felecia Michelle Saulter, ATC
• Robert L Saulters, M.D.
• Barbara Steineker Saunders, DO
• Shivraj Savadkar, MD
• Renate D. Savich, MD
• Arundhati Ramesh Sawant, MD
• Sandip Sawardecker, M.D.
• David Emile Sawaya Jr., MD
• Angeline K Sayles
• Donald Saylor, DO

• Emotionally Disturbed Childrens' Residential Treatment Facility in Jackson, MS
• Providers in Jackson, MS by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.