REGENCY HOSPITAL OF HATTIESBURG, LLC (NPI# 1982606570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982606570 |
| Entity Type | Organization |
| Organization Name | REGENCY HOSPITAL OF HATTIESBURG, LLC |
| Practice Address |
125 S 25th Ave Hattiesburg MS 39401-6031 |
| Mailing Address |
11175 Cicero Dr Suite 300 Alpharetta GA 30022-1148 |
| Practice Telephone | 6012888510 |
| Practice Fax Number | 6012888525 |
| Mailing Telephone | 7707724345 |
| Mailing Fax Number | 7707729192 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. W. GENE WINTERS (CHIEF STRATEGY OFFICER) |
| Authorized Official Telephone | 7707772602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 22-333 | MS | Hospitals |
| Street Address |
125 S 25TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811342322 | Regency Hospital of Southern Mississippi, LLC | Hospitalist | 125 S 25th Ave, Hattiesburg, MS 39401-6031 | 2016-05-03 |
| 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 | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730240011 | Regency Hospital of Southern Mississippi LLC | Long Term Care Hospital | 220 27th Avenue, Hattiesburg, MS 39401-7165 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1952303778 | Regency Hospital Company of Meridian, LLC | Long Term Care Hospital | 1102 Constitution Ave, 2nd Floor, Meridian, MS 39301-4001 | 2005-08-11 |
| 1518967280 | Select Specialty Hospital - Gulf Coast Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2005-07-26 |
| 1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
| 1124682570 | Kpc Promise Hospital of Vicksburg LLC | Long Term Care Hospital | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2019-04-30 |
| 1619326014 | Select Specialty Hospital - Belhaven, LLC | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2016-06-07 |
| 1255661203 | Select Employment Services, Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2010-01-13 |
| 1619109535 | Ltac Hospital of Greenwood, LLC | Long Term Care Hospital | 1401 River Rd, 2nd Floor, Greenwood, MS 38930-4030 | 2009-08-11 |
| 1154560290 | Allegiance Specialty Hospital of Greenville, LLC | Long Term Care Hospital | 300 Washington Ave, Greenville, MS 38701-3614 | 2009-02-12 |
| 1275700064 | Forrest County General Hospital | Long Term Care Hospital | 130 Highland Pkwy, Picayune, MS 39466-5574 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on REGENCY HOSPITAL 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.