COMMUNITY CARE CENTER OF ABERDEEN (NPI# 1063628451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063628451 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE CENTER OF ABERDEEN |
| Other Organization Name | CARE CENTER OF ABERDEEN |
| Practice Address |
505 Jackson St Aberdeen MS 39730-3349 |
| Practice Telephone | 6623696431 |
| Practice Fax Number | 6623696473 |
| Mailing Telephone | 6623696431 |
| Mailing Fax Number | 6623696473 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MR. DAVID W STALLARD (PROVIDER REPRESENTATIVE) |
| Authorized Official Telephone | 6019568884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 561 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00230034 | 05 |
| Other Name | Type Code |
|---|---|
| Care Center of Aberdeen | Doing Business As Name - Organization |
| Street Address |
505 JACKSON ST |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823051 | Care Center of Aberdeen | Skilled Nursing Facility | 505 Jackson St, Aberdeen, MS 39730-3349 | 2005-10-05 |
| 1144395328 | Elite Physicians, Inc. | Family Medicine | 505 Jackson St, Aberdeen, MS 39730-3349 | 2006-11-22 |
| 1215002498 | Diversified Nursing Services, Inc. | Nurse Practitioner | 505 Jackson St, Aberdeen, MS 39730-3349 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447323530 | Aberdeen Healthcare Center Inc | Skilled Nursing Facility | 1700 N Highway 281, Aberdeen, SD 57401-1017 | 2006-11-16 |
| 1083659809 | Manor Care of Aberdeen Sd LLC | Skilled Nursing Facility | 400 8th Ave Nw, Aberdeen, SD 57401-2331 | 2006-06-17 |
| 1386693430 | Avera St Lukes | Skilled Nursing Facility | 1002 N Jay St, Aberdeen, SD 57401-2439 | 2006-05-08 |
| 1487641395 | Bethesda Home of Aberdeen, Inc. | Skilled Nursing Facility | 1224 S High St, Aberdeen, SD 57401-7724 | 2005-10-05 |
| 1205823051 | Care Center of Aberdeen | Skilled Nursing Facility | 505 Jackson St, Aberdeen, MS 39730-3349 | 2005-10-05 |
| 1194719450 | Avalon Care Center - Aberdeen, LLC | Skilled Nursing Facility | 920 Anderson Dr, Aberdeen, WA 98520-1007 | 2005-09-01 |
| 1134121106 | Kingswood Nursing Center Inc | Skilled Nursing Facility | 797 Pee Dee Rd, Aberdeen, NC 28315-3830 | 2005-08-10 |
| 1467955682 | Aberdeen Nursing and Rehab Center LLC | Skilled Nursing Facility | 400 8th Ave Nw, Aberdeen, SD 57401-2331 | 2018-03-14 |
| 1982821492 | Key Point Health Services, Inc | Skilled Nursing Facility | 135 N Parke St, Aberdeen, MD 21001-2428 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1851839435 | Parker Medical Services, LLC | Skilled Nursing Facility | 1060 Lisa Ln, Terry, MS 39170-8092 | 2017-02-03 |
| 1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
| 1003274150 | Vincent Huffstutler | Skilled Nursing Facility | 201 Mary Ellen Dr, Ripley, MS 38663-1658 | 2016-02-04 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1679819890 | Global Home Care, LLC | Skilled Nursing Facility | 4213 Pruitt Rd, West Point, MS 39773-4517 | 2012-12-14 |
| 1740526961 | Better Living Home Care, LLC | Skilled Nursing Facility | 1295 Simpson Park Rd, Weir, MS 39772-8805 | 2012-12-14 |
| 1700132065 | The Arbor | Skilled Nursing Facility | 600 S Pear Orchard Rd, Ridgeland, MS 39157-4221 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.