2ND GENERATION HEALTHCARE, LLC (NPI# 1356651772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356651772 |
| Entity Type | Organization |
| Organization Name | 2ND GENERATION HEALTHCARE, LLC |
| Other Organization Name | THE GROVE OUTPATIENT THERAPY CLINIC |
| Practice Address |
11 Pecan Drive Columbia MS 39429 |
| Practice Telephone | 6017364747 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | MICHAEL BRADSHAW (ADMINISTRATOR) |
| Authorized Official Telephone | 6017364747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 461 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE PROVIDER NUMBER | 255316 | 01 |
| MS | 08039271 | 05 |
| Other Name | Type Code |
|---|---|
| The Grove Outpatient Therapy Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184902686 | 2nd Generation Healthcare, LLC | Skilled Nursing Facility | 11 Pecan Dr, Columbia, MS 39429 | 2011-08-01 |
| Street Address |
11 PECAN DRIVE |
| City | COLUMBIA |
| State | MS |
| Zip Code | 39429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043793508 | Carlton Allen Lee | Driver | 105 Lampton Rd, Columbia, MS 39429 | 2018-09-11 |
| 1396232286 | Rose Thompson | Licensed Practical Nurse | 315 Lampton Hilltop Rd, Columbia, MS 39429 | 2018-04-17 |
| 1972020204 | Harry Lewis Speights Jr. | Pharmacist | Hwy 13 N. 1110 Suite 5, Columbia, MS 39429 | 2017-08-28 |
| 1134676208 | Friendship Mb Church Transportation | Non-emergency Medical Transport (VAN) | 141 Friendship Church Rd, Columbia, MS 39429 | 2016-09-07 |
| 1407232374 | Lakesha Shanell Franklin | Driver | 902 Sunset Circle, Columbia, MS 39429 | 2015-08-03 |
| 1427457084 | Forrest County General Hospital | Clinic/Center | 1560 Sumrall Road, Columbia, MS 39429 | 2014-08-20 |
| 1770873226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1028 Highway 98 Byp, Columbia, MS 39429 | 2011-04-18 |
| 1427367218 | Kerry M Easterling Sr. | Pharmacist | 1100 Hwy 13 North, Freds Pharmacy, Columbia, MS 39429 | 2010-09-28 |
| 1487887022 | Family Health Care Clinic, Inc. | Clinic/Center | 130 Lexie Road, Tylertown, MS 39429 | 2009-08-31 |
| 1962635516 | Family Health Care Clinic, Inc. | Clinic/Center | 431 Old Highway 13 S, Columbia, MS 39429 | 2009-08-31 |
| Find all providers in zip 39429 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578088183 | Columbia Post Acute, LLC | Skilled Nursing Facility | 3535 Berrywood Dr, Columbia, MO 65201-6584 | 2017-08-04 |
| 1245786482 | Nhc-maury Regional Transitional Care Center LLC | Skilled Nursing Facility | 5010 Trotwood Ave, Columbia, TN 38401-4903 | 2016-08-28 |
| 1427436328 | Susquehanna Operator, LLC | Skilled Nursing Facility | 745 Old Chiques Hill Rd, Columbia, PA 17512-8401 | 2015-05-12 |
| 1013231794 | The Oaks of Blythewood, Inc. | Skilled Nursing Facility | 1075 Heather Green Drive, Columbia, SC 29229-0000 | 2010-03-24 |
| 1134455991 | Julie Williams | Skilled Nursing Facility | 3 Eagle Crest Court, Columbia, IL 62236 | 2009-10-28 |
| 1487836656 | Columbia Rehabilitation and Healthcare Center, LLC | Skilled Nursing Facility | 1506 N Main St, Columbia, MS 39429-2070 | 2007-11-29 |
| 1457483398 | Dorn Veterans Hospital | Skilled Nursing Facility | 3509 Lake Ave Apt 2132, Columbia, SC 29206-5111 | 2007-03-09 |
| 1659406668 | White Oak Manor Inc | Skilled Nursing Facility | 3001 Beechaven Rd, Columbia, SC 29204-2701 | 2007-02-22 |
| 1205961810 | Dynamic Columbia Operating Company LLC | Skilled Nursing Facility | 1506 North Main Street, Columbia, MS 39429-2070 | 2007-02-22 |
| 1952498149 | Thi of South Carolina At Columbia, LLC | Skilled Nursing Facility | 1007 N Kings Way, Columbia, SC 29223-1916 | 2006-10-07 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on 2ND GENERATION HEALTHCARE, 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.