BEVERLY ENTERPRISES - MISSISSIPPI INC (NPI# 1548353063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548353063 |
| Entity Type | Organization |
| Organization Name | BEVERLY ENTERPRISES - MISSISSIPPI INC |
| Other Organization Name | GOLDEN LIVINGCENTER - CARTHAGE |
| Practice Address |
1101 E Franklin St Carthage MS 39051 |
| Practice Telephone | 6012674551 |
| Mailing Telephone | 6012674551 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | HOLLY A RASMUSSEN-JONES (SECRETARY) |
| Authorized Official Telephone | 4792014835 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEVERLY HEALTH AND REHABILITATION SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 23024 | 05 |
| Other Name | Type Code |
|---|---|
| Golden LivingCenter - Carthage | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588758643 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 4728 Hwy 39 North, Meridian, MS 39301 | 2006-10-03 |
| Street Address |
1101 E FRANKLIN ST |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477008464 | Diversicare of Carthage, LLC | Skilled Nursing Facility | 1101 E Franklin St, Carthage, MS 39051-3603 | 2016-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| Find all providers in zip 39051 | ||||
| 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 |
|---|---|---|---|---|
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1720138027 | St.luke's Management Co.,inc. | Skilled Nursing Facility | 1220 E Fairview Ave, Carthage, MO 64836-3122 | 2007-01-11 |
| 1427062363 | Kindred Nursing Centers Limited Partnership | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1069 | 2006-07-28 |
| 1073558425 | Carthage Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2006-06-19 |
| 1467408062 | Northport Health Services of Missouri, LLC | Skilled Nursing Facility | 1901 Buena Vista Ave, Carthage, MO 64836-3178 | 2006-05-25 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| 1639163595 | Liberty County Hospital District No. 1 | Skilled Nursing Facility | 4054 Nw Loop, Carthage, TX 75633-3346 | 2005-09-07 |
| 1528067121 | Panola 501 Partners, Lp | Skilled Nursing Facility | 501 Cottage Rd, Carthage, TX 75633-1467 | 2005-07-18 |
| 1629593314 | Eagle Acquisition Ix LLC | Skilled Nursing Facility | 112 Health Care Dr, Carthage, TN 37030-1168 | 2017-08-03 |
| 1578099958 | Clr Carthage LLC | Skilled Nursing Facility | 1045 West St, Carthage, NY 13619-9762 | 2017-05-04 |
| Find all providers in CARTHAGE | ||||
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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.