YALOBUSHA COUNTY NURSING HOME DBA YALOBUSHA GENERAL HOSPITAL (NPI# 1932278231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932278231 |
| Entity Type | Organization |
| Organization Name | YALOBUSHA COUNTY NURSING HOME DBA YALOBUSHA GENERAL HOSPITAL |
| Practice Address |
630 S Main St Water Valley MS 38965-3468 |
| Practice Telephone | 6624731411 |
| Practice Fax Number | 6624734922 |
| Mailing Telephone | 6624731411 |
| Mailing Fax Number | 6624734922 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | MS. BONNIE JEAN HELM (NURSING HOME INSURANCE) |
| Authorized Official Telephone | 6624731411 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 224 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440552 | 05 | |
| MS | 0023158 | 05 |
| Street Address |
630 S MAIN ST |
| City | WATER VALLEY |
| State | MS |
| Zip Code | 38965-3468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197703 | Grady Madison Kuykendall | Physical Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2020-02-26 |
| 1639727134 | Myranda Lancaster | Occupational Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-08-28 |
| 1699320200 | Matt Defrancisco | Physical Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-08-09 |
| 1992269500 | Miranda Wade | Occupational Therapist | 630 S Main St, Water Valley, MS 38965-3468 | 2019-01-28 |
| 1649762030 | John F Kimball | Speech-Language Pathologist | 630 S Main St, Water Valley, MS 38965-3468 | 2018-06-01 |
| 1285122770 | Brenda Mccullough | Physical Therapy Assistant | 630 S Main St, Water Valley, MS 38965-3468 | 2018-04-30 |
| 1215431358 | Christiana Elizabeth Spauldling | Occupational Therapy Assistant | 630 S Main St, Water Valley, MS 38965-3468 | 2018-03-22 |
| 1801140082 | Yalobusha General Hospital | Ambulance | 630 S Main St, Water Valley, MS 38965-3468 | 2012-11-09 |
| 1518290386 | Lawanda Herron | Nurse Practitioner | 630 S Main St, Water Valley, MS 38965-3468 | 2009-09-11 |
| 1427265685 | Yalobusha General Hospital | General Acute Care Hospital | 630 S Main St, Water Valley, MS 38965-3468 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083087985 | Family Health Care Clinic, Inc. | Clinic/Center | 102 Blackmur Dr, Water Valley, MS 38965 | 2015-11-02 |
| 1770713893 | Ben F Toole | Counselor | 1285 County Road 151, Water Valley, MS 38965 | 2009-07-23 |
| 1053451880 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 630 South Main St, Water Valley, MS 38965 | 2007-02-08 |
| 1003977281 | Barney Lee Pullen Jr. | Dentist | 117 Wood St, Water Valley, MS 38965 | 2006-12-12 |
| 1912070277 | Water Valley Rural Health Paul Odom Md | Clinic/Center | 645 South Main Street, Water Valley, MS 38965 | 2006-11-16 |
| 1255414173 | Family Practice Clinic of Water Valley | Family Medicine | 606 So Main St, Water Valley, MS 38965 | 2006-10-23 |
| 1073609467 | Paul Leroy Odom | Family Medicine | 604 South Main Street, Water Valley, MS 38965 | 2006-10-05 |
| 1730129164 | Quality Medical Service, Inc | Durable Medical Equipment & Medical Supplies | Quality Medical Services, Inc, 48 S Main Street, Water Valley, MS 38965 | 2006-06-07 |
| 1124687207 | Dontavious Toles | Physical Therapy Assistant | 50 Main St, Water Valley, MS 38965 | 2019-06-11 |
| 1669826111 | Antoinette Taylor | Family Medicine | 604 S Main St, Water Valley, MS 38965 | 2016-04-21 |
| Find all providers in zip 38965 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WATER VALLEY |
| Zip Code | 38965 |
Please comment or provide details below to improve the information on YALOBUSHA COUNTY NURSING HOME DBA YALOBUSHA GENERAL HOSPITAL.
| 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.