BROOKHAVEN MS OPERATING LLC NPI 1942018833

NPI Information

  • NPI: 1942018833
  • Provider Name: BROOKHAVEN MS OPERATING LLC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Address: 524 BROOKMAN DR
    BROOKHAVEN, MS
    ZIP 39601
  • Phone: (601) 835-1884

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NPI Details

BROOKHAVEN MS OPERATING LLC is an intermediate care facility mentally retarded in Brookhaven, MS. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BROOKHAVEN MS OPERATING LLC NPI is 1942018833. The provider is registered as an organization entity type.

The provider's business location address is:

524 BROOKMAN DR
BROOKHAVEN, MS
ZIP 39601-384
Phone: (601) 835-1884

The provider's authorized official is Moishe Mayer .
The authorized official title is Authorized Signatory and has the following contact phone number (718) 614-8341.

The enumeration date for this NPI number is 12/23/2024 and was last updated on 12/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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