Organization Active NPI

Mississippi Hospital for Restorative Care, Inc.

Doing business as Restorative Care Hospital at Baptist

  • Long Term Care Hospital
  • Jackson, MS
National Provider Identifier
1407886146
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
23-319 Issued in MS
Legal business name
MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.
Doing business as
Restorative Care Hospital at Baptist
Practice address
1225 N State St
Jackson, MS 39202-2064
Phone
(601) 968-5130
Fax
(601) 968-1383
NPI assigned
Jul 4, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
David Jackson
Title
Vice President/Corporate Controller
Phone
(601) 968-5130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 23-319 MS Primary

Addresses

Primary practice location

1225 N State St
Jackson, MS 39202-2064

Mailing address

PO Box 23090
Jackson, MS 39225-3090
Phone (601) 968-1362

Other identifiers 1

IdentifierTypeStateIssuer
00220174MedicaidMS

Other names 1

  • Restorative Care Hospital at Baptist Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1407886146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23090",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392253090",
            "telephone_number": "601-968-1362",
            "fax_number": "601-292-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022064",
            "telephone_number": "601-968-5130",
            "fax_number": "601-968-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI HOSPITAL FOR RESTORATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT/CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "601-968-5130"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "MS",
            "license": "23-319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220174",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Care Hospital at Baptist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 5, 2007; 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.