Provider Demographics
NPI:1982874723
Name:UNITED METHODIST SENIOR SERVICES OF JACKSON AREA, INC.
Entity Type:Organization
Organization Name:UNITED METHODIST SENIOR SERVICES OF JACKSON AREA, INC.
Other - Org Name:RIGGS MANOR RETIREMENT COMMUNITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCALILLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-844-8977
Mailing Address - Street 1:2300 SEVEN SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:MS
Mailing Address - Zip Code:39154-7628
Mailing Address - Country:US
Mailing Address - Phone:662-857-5011
Mailing Address - Fax:662-857-8131
Practice Address - Street 1:2300 SEVEN SPRINGS RD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:MS
Practice Address - Zip Code:39154-7628
Practice Address - Country:US
Practice Address - Phone:662-857-5011
Practice Address - Fax:662-857-8131
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSISSIPPI METHODIST SENIOR SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS853310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02229713Medicaid