Ellisville State School
Ellisville State School is a healthcare organization registered as Technician in Ellisville, MS, holding Type 2 (organization) NPI 1164582821 since 2006. The authorized official on file is Suzie Lassiter, Director of Facility.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1164582821 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Ellisville State School |
| Other name | <Unavail> |
| Practice address | 1101 HIGHWAY 11 S, Ellisville, MS, 39437 |
| Phone | 6014779384 |
| Fax | 6014775700 |
| Enumeration date | 2006-12-11 |
| Last updated in NPPES | 2008-06-17 |
Authorized official
| Name | Suzie Lassiter |
|---|---|
| Title | Director of Facility |
| Phone | 6014779384 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 374700000X | Technician | Primary | ESS-BMR | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015542 | Medicaid | MS | — |
Copy-ready billing details
Provider: Ellisville State School NPI: 1164582821 Taxonomy: 374700000X (Technician) Address: 1101 HIGHWAY 11 S, Ellisville, MS, 39437
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1255364337 | Joseph Moring | Individual | Emergency Medicine Physician | Ellisville, MS |
| 1225130040 | Paul Hathorn | Individual | Dentist | Ellisville, MS |
| 1720181191 | Ellisville State School | Organization | Health Maintenance Organization | Ellisville, MS |
| 1578668901 | Ellisville State School | Organization | Long Term Care Pharmacy | Ellisville, MS |
| 1508962101 | Lisa Blesse | Individual | Family Nurse Practitioner | Ellisville, MS |
| 1306914700 | Hillside | Organization | Nursing Facility/Intermediate Care Facility | Ellisville, MS |
| 1205904604 | Pecan Grove | Organization | Nursing Facility/Intermediate Care Facility | Ellisville, MS |
| 1598833998 | Paul D. Cotten | Organization | Nursing Facility/Intermediate Care Facility | Ellisville, MS |
Verify this record
Cross-check NPI 1164582821 against the authoritative CMS record: view Ellisville State School on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Ellisville State School located?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2008-06-17.