SOUTH CENTRAL REGIONAL MEDICAL CENTER (NPI# 1093790404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093790404 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
| Other Organization Name | COMFORTCARE HOME HEALTH |
| Practice Address |
2260 Us Highway 15 North Laurel MS 39440-1521 |
| Mailing Address |
Po Box 607 Laurel MS 39441-0607 |
| Practice Telephone | 6014257521 |
| Practice Fax Number | 6013996274 |
| Mailing Telephone | 6014257521 |
| Mailing Fax Number | 6013996274 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | MR. JAMES T CANIZARO (VICE PRESIDENT/ CFO) |
| Authorized Official Telephone | 6013996139 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 4081 | MS | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS HOME HEALTH AGENCY | 000070006 | 01 |
| MS | 00070526 | 05 |
| Other Name | Type Code |
|---|---|
| ComfortCare Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1730121088 | South Central Regional Medical Center | Nursing Facility/Intermediate Care Facility | 1100 West Dr, Laurel, MS 39440-4730 | 2006-06-12 |
| 1437199213 | South Central Regional Medical Center | Skilled Nursing Facility | 683 County Home Rd, Ellisville, MS 39437-8455 | 2006-06-08 |
| 1609813757 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-05-31 |
| 1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
| 1114923059 | South Central Regional Medical Center | Skilled Nursing Facility | 305 E Ivy St, Ellisville, MS 39437-2746 | 2005-06-24 |
| 1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
| 1134762610 | South Central Regional Medical Center | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-10-28 |
| 1114353539 | South Central Regional Medical Center | Dermatology | 920 Matthew Dr, Suite 8, Waynesboro, MS 39367-2553 | 2013-09-17 |
| 1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH CENTRAL REGIONAL MEDICAL CENTER, INC | 1220 Jefferson St, Laurel, MS 39440-4355 |
| Street Address |
2260 US HIGHWAY 15 NORTH |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995380 | South Central Regional Medical Center | Hospice Care, Community Based | 2260 Us Highway 15 North, Laurel, MS 39440-1521 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968885 | Sns Devine Home Care | Home Health | 8111 Shannons Aly, Laurel, MD 20724-6136 | 2020-09-29 |
| 1235746363 | Admired Home Healthcare Solutions, LLC | Home Health | 9101 Cherry Ln Ste 212, Laurel, MD 20708-1116 | 2020-09-23 |
| 1992316558 | Ever Caring Inc | Home Health | 9405 Mayflower Ct, Laurel, MD 20723-1745 | 2020-08-16 |
| 1396355798 | Divine Home Health Givers LLC | Home Health | 8368 Imperial Dr, Laurel, MD 20708-1834 | 2020-07-31 |
| 1851918049 | All The Love and Care | Home Health | 9432 Canterbury Riding, Laurel, MD 20723-1448 | 2020-07-03 |
| 1952936809 | Abioye Yusuf | Home Health | 8903 Merrill Ln Apt 303, Laurel, MD 20708-2027 | 2020-03-10 |
| 1033759287 | Miss Bright Home Care Services LLC | Home Health | 14700 4th St Apt 301, Laurel, MD 20707-3966 | 2020-01-15 |
| 1629616560 | Carevana Health | Home Health | 9740 Covered Wagon Dr Apt F, Laurel, MD 20723-1512 | 2019-12-11 |
| 1275176406 | Ace Healthcare Services LLC | Home Health | 9403 Nicklaus Ln, Laurel, MD 20708-3235 | 2019-10-21 |
| 1043873797 | Marcel Ebini Ebini | Home Health | 9639 Muirkirk Rd Apt C174, Laurel, MD 20708-2616 | 2019-04-18 |
| Find all providers in LAUREL | ||||
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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.