MONTICELLO COMMUNITY CARE CENTER LLC (NPI# 1144278565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144278565 |
| Entity Type | Organization |
| Organization Name | MONTICELLO COMMUNITY CARE CENTER LLC |
| Other Organization Name | LAWRENCE COUNTY NURSING CENTER |
| Practice Address |
700 Jefferson St. Monticello MS 39654-0398 |
| Practice Telephone | 6015872593 |
| Practice Fax Number | 6015875352 |
| Mailing Telephone | 6015872593 |
| Mailing Fax Number | 6015875352 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | MRS. TONI PARKISON (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 6017091408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 459 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS BLUE SHIELD | 80541 | 01 |
| MS | 00230110 | 05 |
| Other Name | Type Code |
|---|---|
| Lawrence County Nursing Center | Doing Business As Name - Organization |
| Street Address |
700 JEFFERSON ST. |
| City | MONTICELLO |
| State | MS |
| Zip Code | 39654-0398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| Find all providers in zip 39654 | ||||
| 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 |
|---|---|---|---|---|
| 1720690027 | Brynwood Operations LLC | Skilled Nursing Facility | 1656 S Jefferson St, Monticello, FL 32344-1652 | 2020-08-18 |
| 1407147614 | Monticello Hlth Mgmt LLC | Skilled Nursing Facility | 1780 N Jefferson Hwy, Monticello, FL 32344-5536 | 2011-04-21 |
| 1306165915 | Witham Memorial Hospital | Skilled Nursing Facility | 814 S 6th St, Monticello, IN 47960-8199 | 2010-05-21 |
| 1700896883 | Monticello Healthcare Center, LLC | Skilled Nursing Facility | 1052 Old Warren Rd, Monticello, AR 71655 | 2006-08-09 |
| 1366494510 | Ggnsc Monticello LLC | Skilled Nursing Facility | 1194 N Chester St, Monticello, AR 71655-4133 | 2006-05-16 |
| 1649239492 | Monticello Nursing Home Company | Skilled Nursing Facility | 500 Pinehaven Dr, Monticello, IA 52310-2049 | 2006-03-21 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1588657696 | Monticello-big Lake Community Hospital | Skilled Nursing Facility | 1104 E River St, Monticello, MN 55362-8762 | 2005-08-24 |
| 1679565253 | Delta Health Group Inc | Skilled Nursing Facility | 1656 S Jefferson, Monticello, FL 32344-1652 | 2005-08-18 |
| 1124029871 | Monticello Partnership Ltd | Skilled Nursing Facility | 1780 N Jefferson, Monticello, FL 32344-5536 | 2005-08-03 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 39654 |
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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.