BEDFORD CARE CENTER OF HATTIESBURG, LLC (NPI# 1811979990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811979990 |
| Entity Type | Organization |
| Organization Name | BEDFORD CARE CENTER OF HATTIESBURG, LLC |
| Practice Address |
10 Medical Blvd Hattiesburg MS 39401-7230 |
| Mailing Address |
100 W Pine St Hattiesburg MS 39401-3467 |
| Practice Telephone | 6012643709 |
| Practice Fax Number | 6012641144 |
| Mailing Telephone | 6015833232 |
| Mailing Fax Number | 6015827539 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2010-01-15 |
| Authorized Official Name | MR. STEVE A. WORREL (CONTROLLER) |
| Authorized Official Telephone | 6015833232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 237 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS PROVIDER NUMBER | 000080352 | 01 |
| MS | 00230158 | 05 |
| Street Address |
10 MEDICAL BLVD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235529058 | Joni Barnes | Physical Therapist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2015-02-01 |
| 1003225400 | Melanie Mcdonald | Physical Therapist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2014-08-11 |
| 1972912822 | Amy Mattox | Occupational Therapist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2014-08-05 |
| 1295140978 | Kristi Hatten | Physical Therapist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2014-06-21 |
| 1265774988 | Lacey Pylant | Physical Therapy Assistant | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2013-03-20 |
| 1144566340 | Amber Spence | Physical Therapy Assistant | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2012-12-17 |
| 1194077164 | Monica Bridges | Speech-Language Pathologist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2012-10-15 |
| 1023360096 | Lisa Bridwell | Occupational Therapy Assistant | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2012-10-15 |
| 1356691307 | Carla Suzanne Bowman | Physical Therapy Assistant | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2012-09-18 |
| 1912260688 | Crystal Reeves | Speech-Language Pathologist | 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 2012-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| 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 |
|---|---|---|---|---|
| 1578511366 | Lamar Community Care Center LLC | Skilled Nursing Facility | 37 Hillcrest Dr, Hattiesburg, MS 39402-8625 | 2006-05-04 |
| 1578545646 | Bedford Care Center-monroe Hall, LLC | Skilled Nursing Facility | 300 Cahal St, Hattiesburg, MS 39401-2922 | 2005-11-15 |
| 1922096866 | Hattiesburg Convalescent Home, Inc. | Skilled Nursing Facility | 514 Bay St, Hattiesburg, MS 39401-3933 | 2005-10-13 |
| 1659644474 | Forrest County General Hospital | Skilled Nursing Facility | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2012-02-10 |
| 1891938049 | Hattiesburg Health & Rehab Center LLC | Skilled Nursing Facility | 514 Bay St, Hattiesburg, MS 39401-3933 | 2009-04-16 |
| 1164476107 | Wesley Health System LLC | Skilled Nursing Facility | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2006-05-22 |
| 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 | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on BEDFORD CARE CENTER OF HATTIESBURG, 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.