MADISON COUNTY NURSING HOME (NPI# 1750431391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750431391 |
| Entity Type | Organization |
| Organization Name | MADISON COUNTY NURSING HOME |
| Practice Address |
1421a E Peace St Canton MS 39046-4938 |
| Mailing Address |
1421a E Peace St P.o. Box 488 Canton MS 39046-4938 |
| Practice Telephone | 6018555760 |
| Mailing Telephone | 6018555760 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-03-23 |
| Authorized Official Name | MR. DANIEL LOGAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6018555771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 187 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00023095 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MADISON COUNTY NURSING HOME | 326 Madison St, Sheridan, MT 59749-9636 |
| Street Address |
1421A E PEACE ST |
| City | CANTON |
| State | MS |
| Zip Code | 39046-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629517016 | Tara Bain | Physical Therapist | 1421a E Peace St, Canton, MS 39046-4938 | 2017-02-17 |
| 1629522636 | The Summit Health & Rehab Services, Inc | Clinic/Center | 1421a E Peace St, Canton, MS 39046-4938 | 2016-08-08 |
| 1891143228 | David Hood | Physical Therapist | 1421a E Peace St, Canton, MS 39046-4938 | 2016-05-26 |
| 1154778074 | Lindsay Ball | Speech-Language Pathologist | 1421a E Peace St, Canton, MS 39046-4938 | 2016-05-20 |
| 1215398342 | Ebony Honeysucker | Speech-Language Pathologist | 1421a E Peace St, Canton, MS 39046-4938 | 2016-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| 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 |
|---|---|---|---|---|
| 1700370640 | 3660 Greentree Leasing, LLC | Skilled Nursing Facility | 3660 Greentree Ave Sw, Canton, OH 44706-4024 | 2018-06-14 |
| 1851881825 | House of Loreto for Senior Citizens | Skilled Nursing Facility | 2812 Harvard Ave Nw, Canton, OH 44709-3155 | 2018-05-15 |
| 1316491905 | The Lodge At New Dawn, Inc. | Skilled Nursing Facility | 3660 Greentree Avenue, Sw, Canton, OH 44706-4024 | 2016-08-11 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1336532522 | Newton Healthcare Center | Skilled Nursing Facility | 14 Capen Pl, Canton, MA 02021-3648 | 2015-03-11 |
| 1417255233 | Dallas County Hospital District | Skilled Nursing Facility | 1901 S Trade Days Blvd, Canton, TX 75103 | 2011-03-02 |
| 1508987272 | Ssc Canton Operating Company LLC | Skilled Nursing Facility | 150 Hospital Cir, Canton, GA 30114-3209 | 2007-04-02 |
| 1225101819 | Amicus Health Care Services, Inc. | Skilled Nursing Facility | 2026 Vzcr 2205, Canton, TX 75103 | 2006-11-15 |
| 1306917869 | Canton Care, LLC | Skilled Nursing Facility | 2714 13th St Nw, Canton, OH 44708-3121 | 2006-11-13 |
| 1134216310 | Thi of Texas At Canton, LLC | Skilled Nursing Facility | 901 W College St, Canton, TX 75103-1105 | 2006-10-07 |
| Find all providers in CANTON | ||||
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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.