SMITH COUNTY LTC, LLC (NPI# 1326178203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326178203 |
| Entity Type | Organization |
| Organization Name | SMITH COUNTY LTC, LLC |
| Practice Address |
309 Magnolia Drive Raleigh MS 39153 |
| Mailing Address |
309 Magnolia Drive P. O. Box 128 Raleigh MS 39153 |
| Practice Telephone | 6017824244 |
| Practice Fax Number | 6017829616 |
| Mailing Telephone | 6017824244 |
| Mailing Fax Number | 6017829616 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | MRS. TONYA NELL EUBANKS (CONTROLLER) |
| Authorized Official Telephone | 6622341520 |
| Authorized Official Credential | CONTROLLER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 354 | MS | Nursing & Custodial Care Facilities |
| Street Address |
309 MAGNOLIA DRIVE |
| City | RALEIGH |
| State | MS |
| Zip Code | 39153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780936740 | Heather Celeste Burt Jordan | Occupational Therapist | 309 Magnolia Road, Rolling Acres Retirement, Raleigh, MS 39153 | 2012-10-15 |
| 1831484609 | Lane Napier Baxter | Dentist | 226 Highway 18 West, Raleigh, MS 39153 | 2011-06-09 |
| 1568626216 | Guardian Angel Healthcare Inc., II | Medicare Defined Swing Bed Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2008-07-11 |
| 1386705705 | Phil Thompson | Family Medicine | 342 Magnolia Drive, Raleigh, MS 39153 | 2006-12-12 |
| 1962599696 | Bobby D Maddox | Dentist | 207 Sylvarena Ave., Raleigh, MS 39153 | 2006-10-06 |
| 1679660492 | Raleigh Dental Clinic | Dentist | 207 Sylvarena Ave, Raleigh, MS 39153 | 2006-10-05 |
| 1538278734 | Larry Franklin Gibson | Family Medicine | 202 Sylvarena Ave., Raleigh, MS 39153 | 2006-08-30 |
| 1285967653 | Guardian Angel Healthcare Inc., II | Psychiatric Unit | 347 Magnolia Drive, Raleigh, MS 39153 | 2009-09-16 |
| 1588853154 | Family Health Care Clinic, Inc. | Clinic/Center | 226 Whiteoak Ave, Raleigh, MS 39153 | 2007-10-19 |
| 1811181407 | Guardian Angel Healthcare Inc., II | General Acute Care Hospital | 347 Magnolia Dr, Raleigh, MS 39153 | 2007-08-28 |
| Find all providers in zip 39153 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542878 | Rex Hospital, Inc. | Nursing Facility/Intermediate Care Facility | 4210 Lake Boone Trl, Raleigh, NC 27607-6521 | 2005-07-18 |
| 1992115406 | Legacy | Nursing Facility/Intermediate Care Facility | 3001 Spring Forest Rd, Raleigh, NC 27616-2815 | 2014-05-06 |
| 1215366059 | Right Choice Solutions | Nursing Facility/Intermediate Care Facility | 316 W Millbrook Rd, Suite 213, Raleigh, NC 27609-4478 | 2013-11-02 |
| 1508053935 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 3609 Bond St, Raleigh, NC 27604-3801 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842641 | Crossroads Adult Day Care | Nursing Facility/Intermediate Care Facility | 519 S Church St, Brookhaven, MS 39601-3807 | 2015-01-27 |
| 1699108860 | Holistic Geriatric Care LLC | Nursing Facility/Intermediate Care Facility | 10026 Lizelia Rd, Meridian, MS 39305-9595 | 2013-08-12 |
| 1538492111 | Iva Ward LLC | Nursing Facility/Intermediate Care Facility | 711 Melrose Montebello Pkwy, Natchez, MS 39120-4924 | 2009-09-14 |
| 1295961969 | River Oaks Management, LLC | Nursing Facility/Intermediate Care Facility | 501 Highway 80 E, Brandon, MS 39042-3257 | 2009-06-08 |
| 1063697340 | North Bolivar School District | Nursing Facility/Intermediate Care Facility | 615 School Street, Duncan, MS 38740 | 2008-01-04 |
| 1659555761 | Tallahatchie General Hospital and Extended Care Facility | Nursing Facility/Intermediate Care Facility | 201 South Market Street, Charleston, MS 38921 | 2007-12-26 |
| 1568683498 | Whitfield Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 2101 Proper St, Corinth, MS 38834-5247 | 2007-05-01 |
| 1265656391 | Gilberto Patino | Nursing Facility/Intermediate Care Facility | 419 Elizabeth Drive, Leakesville, MS 39451 | 2007-04-12 |
| 1013048453 | Bruce Nursing Center, Inc. | Nursing Facility/Intermediate Care Facility | 176 Hwy 9 South, Bruce, MS 38915 | 2007-03-08 |
| 1346378387 | Care Center of Clinton | Nursing Facility/Intermediate Care Facility | 1251 Pinehaven Rd, Clinton, MS 39056-3455 | 2007-03-01 |
| 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.