Mccomb Nursing And Rehabilitation Center, Llc, NPI 1700950789
Skilled Nursing Facility in Mccomb, 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 1700950789
NPI Entity Type Organization
Provider Name Mccomb Nursing And Rehabilitation Center, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 415 Marion Ave, Mccomb, MS, US
Provider Mailing Address Po Box 428, Orchard Park, NY, US, 141270428
Is Sole Proprietor? No
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Organization Official

Official Name MISS Norbert A Bennett
Official Position CO-CHIEF EXECUTIVE OFFICER
Phone 716-662-4955

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 886
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

Mccomb Nursing And Rehabilitation Center, Llc
415 Marion Ave

Mccomb, MS, US

Phone: 601-684-8700
Fax: 601-249-2982

Mailing Address

Mccomb Nursing And Rehabilitation Center, Llc
Po Box 428
Orchard Park, NY, US
ZIP 141270428
Phone: 716-662-4955
Fax: 716-667-9230

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00036212 MS MEDICAID 05
000080385 MS BC BS OF MISSISSIPPI 01

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

MISS MOT, OTR/L, SCLV Shirley Blanton

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IDD WAIVER SERVICES Debbie Jones

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IDD WAIVER SERVICES Beverly Johnson

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CRISIS SERVICES Jaricia Kinchen

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IDD WAIVER SERVICES Felicia Keller

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IDD WAIVER SERVICES Sharika Jones

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IDD WAIVER SERVICES Loverta Jones

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1265157614

IDD WAIVER SERVICES Tamekia Mckines

Individual

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119 Chambliss Dr

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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

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Acute Care Nurse Practitioner

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1851016299

IDD WAIVER SERVICES Fraxine Graves

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IDD WAIVER SERVICES Judy Jones

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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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