Ellisville State School
NPI 1811135718ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Ellisville, MS
Intermediate Care Facility, Intellectual Disabilities in Ellisville, Mississippi, registered in NPPES in January 2009. The authorized official on file is Stephanie D. Smith, Family Nurse Practitioner.
Overview
| NPI | 1811135718 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2009 |
| Last updated in NPPES | Jan 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | R865285 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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