Organization · Type 2 NPI
Emmanuel Ridge of Louisville MS Inc
PACE Provider Organization · Louisville, MS
Practice location
803 W Main St
Louisville, MS 39339-2539
Fax (662) 705-5034
Mailing address
750 Boling St, Suite H
Jackson, MS 39209-2652
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse | 163WA2000X | R815521 (MS) |
| PACE Provider Organization Primary | 251T00000X | 08752218 (MS) |
| In Home Supportive Care Agency | 253Z00000X | 03630719 (MS) |
PACE Provider Organization: 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 ser…
3 other providers at this address
About NPI 1497144265
Emmanuel Ridge of Louisville MS Inc's National Provider Identifier is 1497144265, issued on Jan 16, 2015. The primary taxonomy on file is PACE Provider Organization (251T00000X), and the practice location is in Louisville, MS. The record was last updated on Jan 16, 2015.