HOUSE OF FAITH LLC — NPI 1215225149 (Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness in JACKSON, MS)

CMS-1500 Box 24J / 33a • NPI

1215225149

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3104A0625X

Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness

Box 32 Service Location & ZIP+4

928 HUNT ST, JACKSON, MS, 39203-2908

✓ 9-Digit EDI 837 ZIP+4 (39203-2908)

Practice Phone & Referral Fax

(601) 720-6692

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215225149 (HOUSE OF FAITH LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215225149` (NPI-2 Organization / Facility)
Provider / Legal Name	HOUSE OF FAITH LLC
Plain-English Specialty	Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness NUCC Code: `3104A0625X` (Assisted Living Facility, Assisted Living, Mental Illness)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	928 HUNT ST, JACKSON, MS, 39203-2908
Practice Telephone / Fax	Tel: (601) 720-6692
Administrative Mailing Address	120 FALCON RIDGE DR, RAYMOND, MS, 39154-9613
Enumeration & Last Sync	Enumerated: 2011-07-12 \| CMS Record Updated: 2011-07-12
Authorized Official	FAITH HADLEY (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

928 HUNT ST, JACKSON, MS, 39203-2908

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Plain-English Taxonomy & CMS Crosswalk (3104A0625X)

What Does Taxonomy Code 3104A0625X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3104A0625X translates to:
"Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Assisted Living Facility, Assisted Living, Mental Illness for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HOUSE OF FAITH LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`310400000X` — Assisted Living Facility Plain English: Licensed & Credentialed Assisted Living Facility	State: N/A \| License: `Verified` \| Primary: Secondary
`311ZA0620X` — Custodial Care Facility, Adult Care Home Plain English: Licensed & Credentialed Custodial Care Facility, Adult Care Home	State: N/A \| License: `Verified` \| Primary: Secondary
`3104A0625X` — Assisted Living Facility, Assisted Living, Mental Illness Plain English: Licensed & Credentialed Assisted Living Facility, Assisted Living, Mental Illness	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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HOUSE OF FAITH LLC (NPI #1215225149)