Booneville Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1024 Issued in MS

Legal business name

BOONEVILLE ASSISTED LIVING LLC

Practice address

1101 W Chambers Dr
Booneville, MS 38829-6840

Phone

(479) 426-7851

Fax

(662) 720-9594

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Arnold

Title

President

Phone

(479) 426-7851

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1679985212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WEST CHAMBERS DRIVE",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "38824",
            "telephone_number": "479-426-7851",
            "fax_number": "662-720-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W CHAMBERS DR",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388296840",
            "telephone_number": "479-426-7851",
            "fax_number": "662-720-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-426-7851",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MS",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Booneville, MS
• Providers in Booneville, 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 Jun 2, 2014; 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.