TUNICA COUNTY HEALTH & REHAB, LLC (NPI# 1598139248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598139248 |
| Entity Type | Organization |
| Organization Name | TUNICA COUNTY HEALTH & REHAB, LLC |
| Practice Address |
13 Northtown Dr Suite 220 Jackson MS 39211-3047 |
| Practice Telephone | 6019568276 |
| Mailing Telephone | 6019568276 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | REBECCA SHELTON (OFFICER) |
| Authorized Official Telephone | 6019568276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
13 NORTHTOWN DR SUITE 220 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548218738 | Providence Hospice, LLC | Hospice Care, Community Based | 13 Northtown Dr, Suite 220, Jackson, MS 39211-3047 | 2006-05-04 |
| 1093251845 | Reliant Medical Transportation, LLC | Ambulance | 13 Northtown Dr, Suite 130, Jackson, MS 39211-3047 | 2017-01-17 |
| 1891169496 | Quitman County Health & Rehab, LLC | Nursing Facility/Intermediate Care Facility | 13 Northtown Dr, Suite 220, Jackson, MS 39211-3047 | 2015-11-19 |
| 1932571296 | H & R Healthcare, LLC | Skilled Nursing Facility | 13 Northtown Dr, Suite 220, Jackson, MS 39211-3047 | 2015-10-27 |
| 1295174316 | Laura Catherine Weeks | Occupational Therapist | 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047 | 2013-06-21 |
| 1902030026 | Sharon Gayle Magee | Occupational Therapist | 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047 | 2009-05-04 |
| 1275727422 | Steven Patrick Moore | Physical Therapist | 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047 | 2007-08-30 |
| 1184818577 | Danielle Marie Butkowski | Occupational Therapist | 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047 | 2007-08-29 |
| 1881888279 | Alicia M Marlow | Speech-Language Pathologist | 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047 | 2007-08-29 |
| 1306030796 | Paulette Owens Milligan | Occupational Therapy Assistant | 13 Northtown Dr, Suite 110, Jackson, MS 39211-3047 | 2007-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| 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 |
|---|---|---|---|---|
| 1518272970 | Michigan Visiting Care | Nursing Facility/Intermediate Care Facility | 90 Highland Dr, Jackson, MI 49201-9163 | 2010-08-10 |
| 1689603755 | Old Folks Mission Center,inc. | Nursing Facility/Intermediate Care Facility | 118 Glass St, Jackson, TN 38301-4625 | 2006-07-01 |
| 1811953656 | Northbrooke Healthcare and Rehab Center Inc | Nursing Facility/Intermediate Care Facility | 121 Physicians Dr, Jackson, TN 38305 | 2006-04-21 |
| 1891750469 | Forest Cove Nursing and Rehab Center Inc | Nursing Facility/Intermediate Care Facility | 45 Forest Cv, Jackson, TN 38301 | 2006-04-18 |
| 1538128095 | Jackson Health Care Facility, LLC | Nursing Facility/Intermediate Care Facility | 2616 College Ave, Jackson, AL 36545-2469 | 2006-03-22 |
| 1891169496 | Quitman County Health & Rehab, LLC | Nursing Facility/Intermediate Care Facility | 13 Northtown Dr, Suite 220, Jackson, MS 39211-3047 | 2015-11-19 |
| 1407043839 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2007-10-01 |
| 1871694240 | Julie Larae Robbins | Nursing Facility/Intermediate Care Facility | 1500 East Woodrow Wilson Drive, Jackson, MS 39206 | 2006-09-26 |
| 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 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
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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.