NORTH STREET HEALTHCARE LLC


Address: 865 North St, Jackson, MS 39202-3020
Phone: 6019486531

NORTH STREET HEALTHCARE LLC (NPI# 1568791804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568791804
Entity Type Organization
Organization Name NORTH STREET HEALTHCARE LLC
Other Organization Name COMPERES NURSING HOME
Practice Address 865 North St
Jackson
MS 39202-3020
Mailing Address 323 Highland Blvd
Natchez
MS 39120-4635
Practice Telephone 6019486531
Practice Fax Number 6019486166
Mailing Telephone 6013040980
Mailing Fax Number 6013041155
Enumeration Date 2009-12-16
Last Update Date 2009-12-16
Authorized Official Name MR. CHARLES BRUCE KELLY (MANAGING MEMBER)
Authorized Official Telephone 6013040980
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility APPLING FOR MS Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 00230016 05

Other Provider/Organization Names

Other Name Type Code
Comperes Nursing Home Doing Business As Name - Organization

Office Location

Street Address 865 NORTH ST
City JACKSON
State MS
Zip Code 39202-3020

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326348897 Laurie L. Mcbride Skilled Nursing Facility 180 W University Pkwy Ste H, Jackson, TN 38305-1612 2010-10-29
1407179039 Caring Hands Community Services Inc Skilled Nursing Facility 3318 Longwood Drive, Jackson, MS 39212 2010-03-10
1679712665 West Tennessee Transitional Care Inc Skilled Nursing Facility 597 West Forest Ave, Jackson, TN 38301 2009-02-13
1285802652 Trilogy Healthcare of Jackson, LLC Skilled Nursing Facility 703 Robinson Road, Jackson, MI 49203-2538 2008-02-19
1174732333 Louisiana War Veterans Home Skilled Nursing Facility 4739 Highway 10, Jackson, LA 70748 2007-05-22
1760521256 Omni Visions, Inc Skilled Nursing Facility 50 Directors Row, Jackson, TN 38305 2007-02-05
1326197211 Cottage Grove Nursing Home, Lp Skilled Nursing Facility 1116 Forest Ave, Jackson, MS 39206-3216 2007-01-09
1164597688 Countryside Care Center, Inc. Skilled Nursing Facility 2121 Robinson Rd, Jackson, MI 49203-3658 2006-11-21
1073687083 Chadwick Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 1900 Chadwick Dr, Jackson, MS 39204-3406 2006-11-20
1083788053 Lakeland Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 3680 Lakeland Ln, Jackson, MS 39216-4707 2006-11-20
Find all providers in JACKSON

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City JACKSON
Zip Code 39202

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Dataset Information

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.

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