Starkville Ms Operating LLC

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

Legal business name

STARKVILLE MS OPERATING LLC

Doing business as

Rolling Hills Developmental Center

Practice address

200 Womack St
Starkville, MS 39759-2232

Phone

(662) 323-9183

NPI assigned

Dec 23, 2024

Last updated

Dec 23, 2024By 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

Moishe Mayer

Title

Authorized Signatory

Phone

(718) 614-8341

Specialties & licenses 1

Addresses

Other names 1

• Rolling Hills Developmental Center Doing business as

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1932917820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 OBRECHT RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOMACK ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592232",
            "telephone_number": "662-323-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE MS OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "MOISHE",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "718-614-8341"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Hills Developmental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Intermediate Care Facility in Starkville, MS
• Providers in Starkville, MS by specialty
• Mental Illness Intermediate Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.