JEFFERSON COUNTY NURSING HOME THERAPY (NPI# 1356772594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356772594 |
| Entity Type | Organization |
| Organization Name | JEFFERSON COUNTY NURSING HOME THERAPY |
| Practice Address |
910 Main St Fayette MS 39069 |
| Mailing Address |
P.o. Box 1089 Fayette MS 39069 |
| Practice Telephone | 6017863888 |
| Practice Fax Number | 6017869400 |
| Mailing Telephone | 6017863888 |
| Mailing Fax Number | 6017869400 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | MRS. MONTINA RENA FLETCHER-LEWIS (ADMINISTRATOR) |
| Authorized Official Telephone | 6017863888 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | Hospitals |
| Street Address |
910 MAIN ST |
| City | FAYETTE |
| State | MS |
| Zip Code | 39069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184611741 | Jefferson County Nursing Home | Skilled Nursing Facility | 910 Main St, Fayette, MS 39069-5524 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1942741764 | Prime Health and Wellness | Nurse Practitioner | 300 Shannon Street, Fayette, MS 39069 | 2017-03-13 |
| 1063967768 | P-cares Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3476 River Road, Box 1055, Fayette, MS 39069 | 2016-08-23 |
| 1669866331 | Kanayo Ugboaja | Contractor | 157 Hicks St, Fayette, MS 39069 | 2015-03-20 |
| 1053666503 | Valerie Michele White | Nurse Practitioner | 225 Community Dr., Fayette, MS 39069 | 2012-07-20 |
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1922271691 | Jefferson Comprehensive Health Center Inc | Clinic/Center | Route 1 Box 266, Fayette, MS 39069 | 2008-04-02 |
| 1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
| 1356410229 | Johnny B Bills | Family Medicine | 225 Community Ave, Fayette, MS 39069 | 2006-11-07 |
| 1962583971 | Priscilla Jackson | Nurse Practitioner | 225 Community Drive, Fayette, MS 39069 | 2006-10-17 |
| Find all providers in zip 39069 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699217729 | Encompass Health Rehabilitation Hospital of Gulfport, LLC | Rehabilitation Hospital | 4500 13th St Ste 900, Gulfport, MS 39501-2515 | 2016-11-07 |
| 1669810735 | Bryan Allen Ellsberry | Rehabilitation Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2013-06-11 |
| 1306122536 | State of Mississippi-university of Mississippi Medical Center, Hospita | Rehabilitation Hospital | 2500 N State St, Jackson, MS 39216-4500 | 2011-11-02 |
Please comment or provide details below to improve the information on JEFFERSON COUNTY NURSING HOME THERAPY.
| 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.