IndividualActive
Angela Holmes, OWNER/DIRECTOR
NPI 1750684742 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Greenville, MS
Provider details
- NPI number
- 1750684742
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- OWNER/DIRECTOR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(76/100 index)
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
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
1421 Mary St
Greenville, MS 38701-7148
Phone: (662) 822-2308
Street-level locationGet directions
Mailing address
1421 Mary St
Greenville, MS 38701-7148
Registry dates
- Enumerated
- 2010-12-13
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.