Organization · Type 2 NPI

Mississippi Commcare Corporation A Non Profit Corporation

Skilled Nursing Facility · Jackson, MS

NPI number 1083788053 Active

Practice location

3680 Lakeland Ln
Jackson, MS 39216-4707

Call (601) 982-5505 Map

Fax (601) 362-1883

Mailing address

950 W Causeway Approach
Mandeville, LA 70471-3082

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	385 (MS)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1083788053

Mississippi Commcare Corporation A Non Profit Corporation's National Provider Identifier is 1083788053, issued on Nov 20, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Jackson, MS. The record was last updated on Jul 15, 2026.