IndividualActive
Jacqueline Hannah
NPI 1528447471 · Assisted Living Facility (Behavioral Disturbances) · Indianola, MS
Provider details
- NPI number
- 1528447471
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% 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
924 Broadmoor Dr
Indianola, MS 38751-3608
Phone: (662) 207-9842
Street-level locationGet directions
Mailing address
924 Broadmoor Dr
Indianola, MS 38751-3608
Registry dates
- Enumerated
- 2015-05-26
- Last updated
- 2017-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.