DIVERSICARE OF EUPORA, LLC (NPI# 1558816546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558816546 |
| Entity Type | Organization |
| Organization Name | DIVERSICARE OF EUPORA, LLC |
| Other Organization Name | DIVERSICARE OF EUPORA |
| Practice Address |
156 E Walnut Ave Eupora MS 39744-2027 |
| Practice Telephone | 6622588293 |
| Practice Fax Number | 6156207875 |
| Mailing Telephone | 6622588293 |
| Mailing Fax Number | 6156207875 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | KELLY J GILL (CEO) |
| Authorized Official Telephone | 6157717575 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIVERSICARE LEASING COMPANY III, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 382 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00023049 | 05 |
| Other Name | Type Code |
|---|---|
| Diversicare of Eupora | Doing Business As Name - Organization |
| Street Address |
156 E WALNUT AVE |
| City | EUPORA |
| State | MS |
| Zip Code | 39744-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619928207 | Ggnsc Eupora LLC | Skilled Nursing Facility | 156 E Walnut Ave, Eupora, MS 39744-2027 | 2006-05-16 |
| 1629526512 | Stacy Davis | Occupational Therapist | 156 E Walnut Ave, Eupora, MS 39744-2027 | 2016-09-20 |
| 1720536675 | Kimberly Trigg Carney | Speech-Language Pathologist | 156 E Walnut Ave, Eupora, MS 39744-2027 | 2016-09-20 |
| 1255889341 | Christy Carwile | Physical Therapist | 156 E Walnut Ave, Eupora, MS 39744-2027 | 2016-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991196 | Sky Family Dental, LLC | Clinic/Center | 200 Meadowlane Street, Eupora, MS 39744 | 2019-06-13 |
| 1598009466 | Encore Rehabilitation Inc | Physical Therapist | 1710 Veterans Memorial Blvd, Eupora, MS 39744 | 2012-11-16 |
| 1700943180 | Supervalue Pharmacy | Durable Medical Equipment & Medical Supplies | 210 A Veterans Blvd N, Eupora, MS 39744 | 2007-01-03 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1336241678 | Daniel Dean Hall | Dentist | 405 West Roane Ave, Eupora, MS 39744 | 2006-09-05 |
| 1093795148 | Murphy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 65 Medical Plaza, Eupora, MS 39744 | 2006-01-17 |
| 1750991311 | Candace Carolyne Cain | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744 | 2020-08-07 |
| 1780062265 | April S Dabbs | Pharmacist | 1536 Veterans Memorial Blvd, Eupora, MS 39744 | 2015-05-15 |
| 1891279030 | Haley Murphy | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2018-09-24 |
| 1467862961 | Dabbs Family Pharmacy LLC | Pharmacy | 1536 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2014-05-06 |
| Find all providers in zip 39744 | ||||
| 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 |
|---|---|---|---|---|
| 1619928207 | Ggnsc Eupora LLC | Skilled Nursing Facility | 156 E Walnut Ave, Eupora, MS 39744-2027 | 2006-05-16 |
| 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.