Bedford Care Center Of Petal, Llc, NPI 1235111311
Skilled Nursing Facility in Petal, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1235111311
NPI Entity Type Organization
Provider Name Bedford Care Center Of Petal, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 908 South George Street, Petal, MS, US
Provider Mailing Address 100 W Pine St, Hattiesburg, MS, US, 394013467
Is Sole Proprietor? No
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Organization Official

Official Name MR. Stephen A. Worrel
Official Position CONTROLLER
Phone 601-583-3232

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 140
License State MS
Description (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.

Business Address

Bedford Care Center Of Petal, Llc
908 South George Street

Petal, MS, US

Phone: 601-544-7441
Fax: 601-582-3217

Mailing Address

Bedford Care Center Of Petal, Llc
100 W Pine St
Hattiesburg, MS, US
ZIP 394013467
Phone: 601-583-3232
Fax: 601-582-7539

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00230155 MS MEDICAID 05
000080355 MS BCBS PROVIDER NUMBER 01

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

MISS MOT, OTR/L, SCLV Shirley Blanton

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DO Madison Leigh Lindgren

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Optimum Occupational Therapy Services, Llc

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Low Vision Occupational Therapist

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1346965811

Jacqueline Cartwright

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Non-emergency Medical Transport (VAN)

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1932740578

MSN, APRN, FNP-C Felisa Jeannette Hall

Individual

Family Nurse Practitioner

1046 Division St

Biloxi, MS

1356066716

IDD WAIVER SERVICES Debbie Jones

Individual

Day Training/Habilitation Specialist

405 N First St

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1902521362

IDD WAIVER SERVICES Beverly Johnson

Individual

Day Training/Habilitation Specialist

1406 Mississippi Dr

Waynesboro, MS

1821713272

CRISIS SERVICES Jaricia Kinchen

Individual

Mental Health Counselor

934 West Dr

Laurel, MS

1922723378

IDD WAIVER SERVICES Monolisa Keyes

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1224 Hillcrest Dr

Laurel, MS

1770208126

IDD WAIVER SERVICES Felicia Keller

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Day Training/Habilitation Specialist

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Collins, MS

1871218222

IDD WAIVER SERVICES Sharika Jones

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

1790400141

IDD WAIVER SERVICES Loverta Jones

Individual

Day Training/Habilitation Specialist

5192 Highway 11 N

Ellisville, MS

1265157614

IDD WAIVER SERVICES Tamekia Mckines

Individual

Day Training/Habilitation Specialist

119 Chambliss Dr

Hattiesburg, MS

1548985997

Mary Fowler

Individual

Day Training/Habilitation Specialist

5192 Highway 11 N

Ellisville, MS

1386369726

IDD WAIVER SERVICES Porosha Gaines

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

1386290369

DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

Individual

Acute Care Nurse Practitioner

232 Market St

Flowood, MS

1851016299

IDD WAIVER SERVICES Fraxine Graves

Individual

Day Training/Habilitation Specialist

1110 42nd Ave

Gulfport, MS

1215652656

IDD WAIVER SERVICES Judy Jones

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1235854670

IDD WAIVER SERVICES Michael Mcdonald

Individual

Day Training/Habilitation Specialist

41 Bonhomie Rd

Hattiesburg, MS

1083339428

IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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