Shanell'S Residential Care Home, Inc.
NPI 1528359189 · Assisted Living Facility · Jackson, MS
Shanell'S Residential Care Home, Inc. is a Assisted Living Facility organization in Jackson, MS (NPI 1528359189).
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
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
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
Frequently asked questions
- What is Shanell'S Residential Care Home, Inc.'s NPI number?
- Shanell'S Residential Care Home, Inc.'s National Provider Identifier (NPI) is 1528359189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shanell'S Residential Care Home, Inc.?
- Shanell'S Residential Care Home, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Shanell'S Residential Care Home, Inc. located?
- Shanell'S Residential Care Home, Inc.'s practice location on file with NPPES is 4022 California Ave, Jackson, MS 39213-5513.
- What is Shanell'S Residential Care Home, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Shanell'S Residential Care Home, Inc. is (601) 362-4549.
- Who is the authorized official for Shanell'S Residential Care Home, Inc.?
- The authorized official listed on Shanell'S Residential Care Home, Inc.'s NPPES record is Carnell Kitchens, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shanell'S Residential Care Home, Inc.'s NPI active?
- Yes — Shanell'S Residential Care Home, Inc.'s NPI (1528359189) is active in the NPPES registry as of the last update on 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.