MS STATE VETERANS HOME COLLINS (NPI# 1235611765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235611765 |
| Entity Type | Organization |
| Organization Name | MS STATE VETERANS HOME COLLINS |
| Practice Address |
3261 Highway 49 Collins MS 39428-3876 |
| Practice Telephone | 6017650519 |
| Practice Fax Number | 6017655045 |
| Mailing Telephone | 6017650519 |
| Mailing Fax Number | 6017655045 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | ALICE ANNETTE ASHLEY (PHARMACIST) |
| Authorized Official Telephone | 6017650519 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE VETERANS AFFAIRS BOARD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
3261 HIGHWAY 49 |
| City | COLLINS |
| State | MS |
| Zip Code | 39428-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467892265 | April Mcnair | Occupational Therapy Assistant | 3261 Highway 49, Collins, MS 39428-3876 | 2013-06-26 |
| 1811502099 | Madison Colley | Occupational Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2020-09-14 |
| 1225655723 | Neshobi Barnes | Speech-Language Pathologist | 3261 Highway 49, Collins, MS 39428-3876 | 2020-06-30 |
| 1356960017 | Christopher Hannick | Occupational Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2020-04-13 |
| 1205316940 | Alice Annette Ashley | Pharmacist | 3261 Highway 49, Collins, MS 39428-3876 | 2018-08-21 |
| 1932685484 | Tabitha Pugh | Speech-Language Pathologist | 3261 Highway 49, Collins, MS 39428-3876 | 2018-07-18 |
| 1912413469 | Ida Marie Cole | Physical Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2017-12-20 |
| 1790205060 | Hayley Rae Evelyn Tillman | Physical Therapist | 3261 Highway 49, Collins, MS 39428-3876 | 2017-06-27 |
| 1639614514 | Andrew Cartlidge | Occupational Therapy Assistant | 3261 Highway 49, Collins, MS 39428-3876 | 2016-12-30 |
| 1619422292 | Pamela Carter | Occupational Therapy Assistant | 3261 Highway 49, Collins, MS 39428-3876 | 2016-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1366075236 | Pine Ridge Family Clinic, LLC | Nurse Practitioner | 3248 Highway 49, Collins, MS 39428 | 2020-02-19 |
| 1245874981 | Kim Michelle Stubbs | Nurse Practitioner | 77 Cmj Drive, Collins, MS 39428 | 2019-11-06 |
| 1558911800 | William Clyde Saulters | Technician | 749 Seminary Mike Conner Rd, Collins, MS 39428 | 2019-09-18 |
| 1053862524 | Southeast Mississippi Rural Health Initiative, Inc. | Clinic/Center | 104 Carver Drive, Collins, MS 39428 | 2016-10-20 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1184973737 | Stephen Caleb Williamson | Pharmacist | 801 Main Street, Collins, MS 39428 | 2012-08-29 |
| 1760749691 | Christy Leggett | Occupational Therapy Assistant | 29 Martin Ln, Collins, MS 39428 | 2012-04-17 |
| 1013205350 | Covington County Hospital | Clinic/Center | 3275 Hwy 49, Suite E, Collins, MS 39428 | 2011-07-20 |
| 1225351562 | Covington County School District | Local Education Agency (LEA) | 1211 South Dogwood Avenue, Collins, MS 39428 | 2010-03-01 |
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| 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 |
|---|---|---|---|---|
| 1215985734 | Collins Community Care Center LLC | Skilled Nursing Facility | 1315 S Fir Avenue, Collins, MS 39428-3809 | 2006-05-05 |
| 1053615518 | Covington County Hospital | Skilled Nursing Facility | 701 S Holly Ave, Collins, MS 39428-3894 | 2010-12-27 |
| 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.