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Shanell'S Residential Care Home, Inc. — NPI 1528359189, Jackson, MS | NPI Central

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NPI 1528359189

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Shanell'S Residential Care Home, Inc.

NPI 1528359189 · Assisted Living Facility · Jackson, MS

Provider details

NPI number: 1528359189
Entity type: Organization
Primary specialty: Assisted Living FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Carnell Kitchens, President(601) 259-4602
License: 1035 (MS)

Specialties & taxonomies

Assisted Living FacilityPrimary310400000XLicense 1035 (MS)
Nursing & Custodial Care Facilities

Practice location

4022 California Ave

Jackson, MS 39213-5513

Phone: (601) 362-4549

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 83040

Jackson, MS 39283-3040

Other names (DBA / former)

Doing business as: Shanell'S Residential Care Home, Inc. (assistant Living)

Registry dates

Enumerated: 2011-04-29
Last updated: 2011-04-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.