Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Methodist Home Road Assisted Living

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1215341979

Methodist Home Road Assisted Living is a Mental Illness Community Based Residential Treatment Facility in Jackson, Mississippi. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

4560 Methodist Home Rd
Jackson, MS 39213-4201
Phone: (769) 257-7232
Fax: (769) 257-7745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1215341979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kiara Johnson — Manager · (601) 918-6415
NPI enumeratedJune 19, 2014
Last updated in NPPESJune 19, 2014
Mailing address4560 Methodist Home Rd, Jackson, MS 39213-4201

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