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Ssipp Select Basketball & Mentoring Program Non Profit
In Home Supportive Care Agency in Gulfport, Mississippi
NPI 1396315792

Ssipp Select Basketball & Mentoring Program Non Profit is a In Home Supportive Care Agency based in Gulfport, MS. Ssipp Select Basketball & Mentoring Program Non Profit practices in Gulfport, MS. The NPI Number for Ssipp Select Basketball & Mentoring Program Non Profit is 1396315792 and holds a License No. (Mississippi).

The current practice location address for Ssipp Select Basketball & Mentoring Program Non Profit is 3 Nottingham Cir, Gulfport, MS and can be reached out via phone at 662-519-1608.

Location: 3 Nottingham Cir, Gulfport, MS, 39503-4021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396315792
Provider Name
Ssipp Select Basketball & Mentoring Program Non Profit
Credential
Provider Entity Type
Organization
Address
3 Nottingham Cir, Gulfport, MS, 39503-4021
Phone Number
662-519-1608
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3 Nottingham Cir
City
Gulfport
State
Mississippi
Zip
39503-4021
Phone Number
662-519-1608
Fax Number
person
Provider Business Mailing Address Details
Address
3 Nottingham Cir
City
Gulfport
State
Mississippi
Zip
39503-4021
Phone Number
662-519-1608
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
()
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 5
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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