COPIAH COMMUNITY CARE CENTER LLC (NPI# 1720036916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720036916 |
| Entity Type | Organization |
| Organization Name | COPIAH COMMUNITY CARE CENTER LLC |
| Other Organization Name | COPIAH LIVING CENTER |
| Practice Address |
806 W Georgetown St Crystal Springs MS 39059-9453 |
| Practice Telephone | 6018921881 |
| Practice Fax Number | 6018921985 |
| Mailing Telephone | 6018921881 |
| Mailing Fax Number | 6018921985 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 6017091408 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 949 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00230165 | 05 | |
| MS | BLUE CROSS BLUE SHIELD | 80413 | 01 |
| Other Name | Type Code |
|---|---|
| Copiah Living Center | Doing Business As Name - Organization |
| Street Address |
806 W GEORGETOWN ST |
| City | CRYSTAL SPRINGS |
| State | MS |
| Zip Code | 39059-9453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1134438757 | William Robert Myers | Pharmacist | 25096 Highway 51, Fred's Pharmacy # 1489, Crystal Springs, MS 39059 | 2010-09-30 |
| 1679770507 | Lucas Nathaniel Watson | Social Worker | 34132 Hwy 28 East, Crystal Springs, MS 39059 | 2007-07-03 |
| 1699818948 | Jerry Babb Gulledge | Family Medicine | 408 East Railroad Avenue North, Crystal Springs, MS 39059 | 2007-02-15 |
| 1306903844 | Onous J Wells Jr. | Dentist | 304 Harmony Road, Crystal Springs, MS 39059 | 2007-01-03 |
| 1073608881 | Melanie B Austin | Occupational Therapist | 104 West Railroad Ave. North, Crystal Springs, MS 39059 | 2006-10-04 |
| 1972603819 | Copiah Medical Associates, LLP | Family Medicine | 123 Bobo Dirve, Crystal Springs, MS 39059 | 2006-09-22 |
| 1467554378 | Albert J. Singletary, Inc | Dentist | 707 West Georgetown St., Crystal Springs, MS 39059 | 2006-09-01 |
| 1225004948 | Cds Home Care, Inc | Durable Medical Equipment & Medical Supplies | 119 Bobo Dr, Crystal Springs, MS 39059 | 2006-02-23 |
| Find all providers in zip 39059 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL SPRINGS |
| Zip Code | 39059 |
Please comment or provide details below to improve the information on COPIAH COMMUNITY CARE CENTER LLC.
| 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.