Healthcare Provider Details

I. General information

NPI: 1649226192
Provider Name (Legal Business Name): PLUMPOINT CHRISTIAN LIVING CTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 NORTH STREET
JACKSON MS
39202
US

IV. Provider business mailing address

865 NORTH STREET
JACKSON MS
39202
US

V. Phone/Fax

Practice location:
  • Phone: 601-948-6531
  • Fax: 601-948-6166
Mailing address:
  • Phone: 601-948-6531
  • Fax: 601-948-6166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number306
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0834640001
License Number StateMS

VIII. Authorized Official

Name: CHRIS PLUMLEE
Title or Position: PRESIDENT OWNER
Credential: BBA NHA
Phone: 601-624-3020