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Emmanuel Ridge Of Dekalb Inc
Adult Day Care Clinic/Center in Dekalb, Mississippi
NPI 1992191084

Emmanuel Ridge Of Dekalb Inc is an Adult Day Care Clinic/Center based in Florence, MS and is specialized in Adult Day Care. Emmanuel Ridge Of Dekalb Inc practices in Dekalb, MS. The NPI Number for Emmanuel Ridge Of Dekalb Inc is 1992191084 and holds a License No. R815521 (Mississippi).

The current practice location address for Emmanuel Ridge Of Dekalb Inc is 14632 Hwy 39N/16E, Dekalb, MS and can be reached out via phone at 601-927-9839.

Location: 14632 Hwy 39N/16E, Dekalb, MS, 39073-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992191084
Provider Name
Emmanuel Ridge Of Dekalb Inc
Credential
Provider Entity Type
Organization
Address
14632 Hwy 39N/16E, Dekalb, MS, 39073-1522
Phone Number
601-927-9839
Fax Number
Provider Enumeration Date
04/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08752218 05 MS
institution
Provider Business Practice Location Address Details
Address
14632 Hwy 39N/16E
City
Dekalb
State
Mississippi
Zip
39328
Phone Number
601-927-9839
Fax Number
person
Provider Business Mailing Address Details
Address
14632 Hwy 39N/16E
City
Dekalb
State
Mississippi
Zip
39328
Phone Number
601-927-9839
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
163WA2000X
License No.
08752218 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
03630719 (Mississippi)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
08752218 (Mississippi)
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.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
R815521 (Mississippi)
Definition
Definition to come...
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