BRUCE NURSING CENTER, INC. (NPI# 1013048453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013048453 |
| Entity Type | Organization |
| Organization Name | BRUCE NURSING CENTER, INC. |
| Practice Address |
176 Hwy 9 South Bruce MS 38915 |
| Mailing Address |
Po Box 1280 Bruce MS 38915-1280 |
| Practice Telephone | 6624125100 |
| Practice Fax Number | 6624125122 |
| Mailing Telephone | 6624125100 |
| Mailing Fax Number | 6624125122 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STAN NORTHRIP (ADMINISTRATOR) |
| Authorized Official Telephone | 6624125100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 667 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00230046 | 05 |
| Street Address |
176 HWY 9 SOUTH |
| City | BRUCE |
| State | MS |
| Zip Code | 38915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528249570 | Clc of Bruce, LLC | Skilled Nursing Facility | 176 Hwy 9 South, Bruce, MS 38915 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396286456 | Reconnect Wellness Bruce LLC | Preferred Provider Organization | 131 Public Square, Bruce, MS 38915 | 2017-03-09 |
| 1710286356 | Damon Doler | Physical Therapist | 176 Hwy 9, Bruce, MS 38915 | 2011-03-22 |
| 1124332135 | Anna Claire Jefcoat | Physical Therapy Assistant | 176 Highway 9 N, Bruce, MS 38915 | 2010-08-02 |
| 1487968574 | Elizabeth Kavanagh | Physical Therapist | 176 Hwy 9 North, Bruce, MS 38915 | 2010-07-30 |
| 1851611974 | Becky F. Butts | Speech-Language Pathologist | 176 Hwy 9 N, Bruce, MS 38915 | 2010-06-11 |
| 1851477079 | Tom B Longest Jr. | Family Medicine | 128 Public Square, Bruce, MS 38915 | 2006-10-31 |
| 1780772780 | Wells Medical Clinic Inc | Family Medicine | 407 East Calhoun St, Bruce, MS 38915 | 2006-10-11 |
| 1588681050 | Freds Stores of Tennessee Inc | Pharmacy | 403 W Calhoun Street, Bruce, MS 38915 | 2006-07-17 |
| 1891334702 | Tiffany Palertree Moore | Speech-Language Pathologist | 131 Public Square, Bruce, MS 38915 | 2019-12-26 |
| 1336652841 | Cortney Stieffel | Speech-Language Pathologist | 176 Hwy 9 North, Bruce, MS 38915 | 2017-11-07 |
| Find all providers in zip 38915 | ||||
| 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 |
| 1326178203 | Smith County Ltc, LLC | Nursing Facility/Intermediate Care Facility | 309 Magnolia Drive, Raleigh, MS 39153 | 2007-03-07 |
| 1346378387 | Care Center of Clinton | Nursing Facility/Intermediate Care Facility | 1251 Pinehaven Rd, Clinton, MS 39056-3455 | 2007-03-01 |
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| 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.