Provider Demographics
NPI:1649226192
Name:PLUMPOINT CHRISTIAN LIVING CTR
Entity Type:Organization
Organization Name:PLUMPOINT CHRISTIAN LIVING CTR
Other - Org Name:COMPERES NURSING HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMLEE
Authorized Official - Suffix:
Authorized Official - Credentials:BBA NHA
Authorized Official - Phone:601-624-3020
Mailing Address - Street 1:865 NORTH STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39202
Mailing Address - Country:US
Mailing Address - Phone:601-948-6531
Mailing Address - Fax:601-948-6166
Practice Address - Street 1:865 NORTH STREET
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202
Practice Address - Country:US
Practice Address - Phone:601-948-6531
Practice Address - Fax:601-948-6166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS306314000000X
MS0834640001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00230016Medicaid
MS00230016Medicaid
MS0834640001Medicare NSC