Clifton Street Assisted Living Center, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLIFTON STREET ASSISTED LIVING CENTER, INC

Practice address

438 S Clifton St
Jackson, MS 39203-3605

Phone

(601) 949-2713

NPI assigned

Sep 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara G. Spencer

Title

Owner

Phone

(601) 949-2713

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1831422138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 S CLIFTON ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 S CLIFTON ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392033605",
            "telephone_number": "601-949-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON STREET ASSISTED LIVING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-949-2713",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dava Sue Cleveland, DO
• Kenneth E Cleveland, MD
• Nicole Duncan Cleveland, MD
• William Matthew Cliburn, MSN, APRN, FNP-C
• Barry Clinton Click, DOCTOR OF MINISTRY
• Brad Alan Clifton
• Jana Cline, NP
• Kimberly Cline, RRT
• Clinic for Women of Central Ms
• Clinton Wellness Center LLC

• Assisted Living Facility in Jackson, MS
• Providers in Jackson, 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 17, 2009; 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.