Organization Active NPI

Horizon Behavioral and Support Services, LLC

  • Respite Care
  • Yazoo City, MS
National Provider Identifier
1417443862
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
HORIZON BEHAVIORAL AND SUPPORT SERVICES, LLC
Practice address
930 Lamar Ave.
Yazoo City, MS 39194-3919
Phone
(662) 571-5632
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Casaundra Jones, LMSWNPI 1205559465
Title
Executive Director
Phone
(662) 571-5632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

930 Lamar Ave.
Yazoo City, MS 39194-3919

Mailing address

410 Webster Ave.
Yazoo City, MS 39194
Phone (662) 571-5632

Other practice location 1

930 Lamar Ave
Yazoo City, MS 39194-3919
Phone (662) 571-5632

Other practice location 2

930 LaMar Ave
Yazoo City, MS 39194-3242

Other practice location 3

930 Lamar
Yazoo City, MS 39194

Other identifiers 1

IdentifierTypeStateIssuer
HBSS-AGENCYOtherMSDEPARTMENT OF MENTAL HEALTH

National Provider Directory

National Provider Directory

Locations

930 Lamar Ave
Yazoo City, MS 39194
Phone (662) 571-5632

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1417443862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WEBSTER AVE.",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-571-5632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 LAMAR AVE.",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943919",
            "telephone_number": "662-571-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Lamar Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943919",
            "country_code": "US",
            "telephone_number": "662-571-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943242",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Lamar",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "39194",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HORIZON BEHAVIORAL AND SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CASAUNDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "662-571-5632",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF MENTAL HEALTH",
            "identifier": "HBSS-AGENCY",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.