Justlikehome Supportive Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JUSTLIKEHOME SUPPORTIVE LIVING LLC

Practice address

9 County Road 3312
Enterprise, MS 39330-9070

Phone

(601) 214-6426

NPI assigned

Sep 8, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Brittany N Davis

Title

Owner/Manager

Phone

(601) 214-6426

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 1

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.

• Otha Andrae Adams

  • Private Vehicle
  • Enterprise, MS
  • NPI 1558187211
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1669086591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COUNTY ROAD 3312",
            "city": "ENTERPRISE",
            "state": "MS",
            "postal_code": "393309070",
            "telephone_number": "601-214-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COUNTY ROAD 3312",
            "city": "ENTERPRISE",
            "state": "MS",
            "postal_code": "393309070",
            "telephone_number": "601-214-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTLIKEHOME SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "601-214-6426",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JustLikeHomeLLC@outlook.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "address_1": "9 County Road 3312",
            "city": "Enterprise",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393309070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anderson Physician Alliance, Inc. (Anderson Family Medical Center - Enterprise)
• Anderson Regional Medical Center (Baptist Anderson Family Medical Center-Enterprise)
• Enterprise Ambulence Service
• Enterprise Pharmacy LLC (Enterprise Pharmacy)
• Ashley D Gray, FNP
• Rest Haven

• Assisted Living Facility in Enterprise, MS
• Providers in Enterprise, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.