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Methodist Home Road Assisted Living

Mental Illness Community Based Residential Treatment Facility in Jackson, MS · enumerated 2014 · authorized official Kiara Johnson, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215341979

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Registry record

Entity type Organization (Type 2)
Legal business name Methodist Home Road Assisted Living
Practice address 4560 Methodist Home Rd, Jackson, MS, 39213
Phone (769) 257-7232
Fax (769) 257-7745
Enumeration date Jun 19, 2014
Last updated in NPPES Jun 19, 2014

Taxonomy & classification

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Primary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Kiara Johnson
Title Manager
Phone (601) 918-6415

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.

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Frequently asked questions

What type of organization is Methodist Home Road Assisted Living?
Methodist Home Road Assisted Living is registered in NPPES as a Mental Illness Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-19.