NPIMap

Organization Active NPI

Healing Hands Rehabilitation Services, LLC

  • Behavior Analyst
  • Gluckstadt, MS
National Provider Identifier
1609691963
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
HEALING HANDS REHABILITATION SERVICES, LLC
Practice address
105 Lexington Dr Ste J
Gluckstadt, MS 39110-6646
Phone
(601) 910-7300
Fax
(601) 910-7071
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALING HANDS REHABILITATION SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Jasmine Martin SmithNPI 1679863245
Title
Managing Partner
Phone
(601) 910-7300

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

105 Lexington Dr Ste J
Gluckstadt, MS 39110-6646

Mailing address

105 Lexington Dr Ste H
Gluckstadt, MS 39110-6646
Phone (601) 910-7300

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Rehab SVCS2 organizations share this tax ID, including this one
Part of
Healing Hands Rehab SVCS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 Lexington Dr
Ste J
Gluckstadt, MS 39110
Phone (601) 910-7300

500 E Woodrow Wilson Ave
#C
Jackson, MS 39216
Phone (601) 910-7300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1609691963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR STE H",
            "city": "GLUCKSTADT",
            "state": "MS",
            "postal_code": "391106646",
            "telephone_number": "601-910-7300",
            "fax_number": "601-910-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LEXINGTON DR STE J",
            "city": "GLUCKSTADT",
            "state": "MS",
            "postal_code": "391106646",
            "telephone_number": "601-910-7300",
            "fax_number": "601-910-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS REHABILITATION SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALING HANDS REHABILITATION SERVICES, LLC",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "601-910-7300"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gluckstadt, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.