Active NPI
Morning Light, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Jonesboro, LA
National Provider Identifier
1962617282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 159
- Legal business name
- MORNING LIGHT, INC.
- Practice address
- 1564 S Hudson Ave
Jonesboro, LA 71251-4022 - Phone
- (318) 259-8906
- NPI assigned
- May 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David W. Woods, CEO
- Title
- Administrator
- Phone
- (318) 251-0580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 159 | LA | Primary |
Addresses
Primary practice location
1564 S Hudson Ave
Jonesboro, LA 71251-4022
Mailing address
PO Box 548
Ruston, LA 71273-0548
Phone (318) 251-0580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1718360 | Medicaid | LA |
Other names 1
- JONESBORO COMMUNITY HOME
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Intermediate care facility for individuals with intellectual disabilities certification: CCN 19G058
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Jonesboro Community Home
- Certification status
- Active
- Provider type (POS)
- Intermediate care facility for individuals with intellectual disabilities
- Participating since
- Nov 23, 1982
- Last certification
- Aug 5, 2025
- Beds
- 6
- Ownership / control type
- Private (proprietary)
- Facility address
- 1564 South Hudson St.
Jonesboro, LA 71251
National Provider Directory
National Provider Directory- Tax ID family
- Bernice Community Home
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Bernice, LA
- NPI 1326253097
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Gibsland, LA
- NPI 1609081975
-
- Day Training/Habilitation Specialist
- Ruston, LA
- NPI 1982521399
Locations
1564 S Hudson Ave
Jonesboro, LA 71251
Phone (318) 259-8906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962617282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 548",
"city": "RUSTON",
"state": "LA",
"postal_code": "712730548",
"telephone_number": "318-251-0580",
"fax_number": "318-247-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1564 S HUDSON AVE",
"city": "JONESBORO",
"state": "LA",
"postal_code": "712514022",
"telephone_number": "318-259-8906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORNING LIGHT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WOODS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-251-0580",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "LA",
"license": "159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1718360",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JONESBORO COMMUNITY HOME",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.