MCCOMB HEALTHCARE LLC (NPI# 1194762526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194762526 |
| Entity Type | Organization |
| Organization Name | MCCOMB HEALTHCARE LLC |
| Other Organization Name | COURTYARD REHABILITATION AND HEALTHCARE |
| Practice Address |
501 S Locust St Mccomb MS 39648-4336 |
| Practice Telephone | 6016848111 |
| Practice Fax Number | 6016842881 |
| Mailing Telephone | 6016848111 |
| Mailing Fax Number | 6016842881 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | KENNETH USSERY (VP) |
| Authorized Official Telephone | 4075711550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 556 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00220163 | 05 |
| Other Name | Type Code |
|---|---|
| Courtyard Rehabilitation and Healthcare | Doing Business As Name - Organization |
| Street Address |
501 S LOCUST ST |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636709 | Andrew Kawamleh | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-10-25 |
| 1023596426 | Courtney Vosika | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-07-30 |
| 1164920385 | Neil William Pierson | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-01-23 |
| 1447768460 | Jennie Stewart Weldon | Student in an Organized Health Care Education/Training Program | 501 S Locust St, Mccomb, MS 39648-4336 | 2018-01-11 |
| 1124540026 | Jason Carter | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-07-12 |
| 1437687969 | Victor Trinchera | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-05-29 |
| 1093248817 | Benjamin Pollard | Physical Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-04-08 |
| 1023557576 | Emily Troxler | Physical Therapist | 501 S Locust St, Mccomb, MS 39648-4336 | 2017-02-16 |
| 1962953836 | William Wells IIi | Occupational Therapy Assistant | 501 S Locust St, Mccomb, MS 39648-4336 | 2016-10-17 |
| 1346623964 | Brandon Reid Falk | Contractor | 501 S Locust St, Mccomb, MS 39648-4336 | 2015-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| 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 |
|---|---|---|---|---|
| 1992753180 | Pike Community Care Center LLC | Skilled Nursing Facility | 1714 White St, Mccomb, MS 39648-2712 | 2006-05-04 |
| 1700950789 | Mccomb Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 415 Marion Ave, Mccomb, MS 39648-2709 | 2006-11-20 |
| 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 |
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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.