NPIMap

Organization Active NPI

Diamond Grove Center

  • Psychiatric Residential Treatment Facility
  • Louisville, MS
National Provider Identifier
1659404572
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
817 Issued in MS
Legal business name
DIAMOND GROVE CENTER
Practice address
2311 Highway 15 S
Louisville, MS 39339-7071
Phone
(662) 779-0119
Fax
(662) 779-0126
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Steve Filton
Title
SRVP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 817 MS Primary

Addresses

Primary practice location

2311 Highway 15 S
Louisville, MS 39339-7071

Mailing address

2311 Highway 15 S
Louisville, MS 39339-7071
Phone (662) 779-0119

Other identifiers 1

IdentifierTypeStateIssuer
00220801MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Diamond Grove Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1659404572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HIGHWAY 15 S",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393397071",
            "telephone_number": "662-779-0119",
            "fax_number": "662-779-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HIGHWAY 15 S",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393397071",
            "telephone_number": "662-779-0119",
            "fax_number": "662-779-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND GROVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SRVP  CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "MS",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220801",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.