MEDICARE: LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility		MS

General Provider Information

NPI Number	:	1336507284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY

Provider Business Mailing Address
First Line	:	2634 E LAKE BLVD APT 9-9
Second Line	:
City	:	ROBINSONVILLE
State	:	MS
Zip	:	38664-8916
Country	:	US
Telephone Number	:	662-373-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	2634 E LAKE BLVD APT 9-9
Second Line	:
City	:	ROBINSONVILLE
State	:	MS
Zip	:	38664-8916
Country	:	US
Telephone Number	:	662-373-4422
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MISS CONSWAYDA L MERRITT
Credential	:
Telephone Number	:	662-373-4422

Provider Enumeration Date	:	02/07/2016
Last Update Date	:	02/07/2016

Similar Medicare Providers

1861623852 — PREMISE HEALTH OF MISSISSIPPI MEDICAL PC
Practice Location Address:

1021 CASINO CENTER DR
ROBINSONVILLE, MS
38664-9708

Practice Phone: 662-357-3264
Practice Fax: 662-357-6092

1720037005 — DR. BOBBY YOUNG JOE M.D.
Practice Location Address:

13615 OLD HIGHWAY 61 NORTH , HARRAH'S TAKE CARE HEALTH AND WELLNESS CLINIC
ROBINSONVILLE, MS
38664

Practice Phone: 662-357-3264
Practice Fax:

1528149531 — DANIELLA S ELLIS FNP
Practice Location Address:

11273 HIGHWAY 61 N
ROBINSONVILLE, MS
38664-9705

Practice Phone: 662-357-0012
Practice Fax: 662-357-0021

1033258926 — MS. MELANIE JO HILL MSN, APRN, FNP-BC
Practice Location Address:

1021 CASINO CENTER DR , CAESAR'S HEALTH AND WELLNESS CENTER
ROBINSONVILLE, MS
38664-9708

Practice Phone: 662-357-3264
Practice Fax: 662-357-6092

1891931069 — MS. GARNETTE MILLER DNP FNP BC
Practice Location Address:

1150 CASINO STRIP RESORT BLVD
ROBINSONVILLE, MS
38664

Practice Phone: 662-357-7707
Practice Fax: 662-357-7807

1326556184 — ANGELA EALY NP
Practice Location Address:

11273 HIGHWAY 61 N
ROBINSONVILLE, MS
38664-9705

Practice Phone: 662-363-3224
Practice Fax: 662-363-3234

Directions to “LAPEARLS RESIDENTIAL AND PRIVATE CARE FACILITY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.