KEMPER COUNTY LTC INC (NPI# 1609866235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609866235 |
| Entity Type | Organization |
| Organization Name | KEMPER COUNTY LTC INC |
| Other Organization Name | MISSISSIPPI CARE CENTER OF DEKALB LLC |
| Practice Address |
220 Willow Ave Dekalb MS 39328-0577 |
| Mailing Address |
Po Box 577 De Kalb MS 39328-0577 |
| Practice Telephone | 6017435888 |
| Practice Fax Number | 6017434506 |
| Mailing Telephone | 6017435888 |
| Mailing Fax Number | 6017434506 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PATTY C NESTER (ADMINISTRATOR) |
| Authorized Official Telephone | 6017435888 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 358 | MS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0230087 | 05 |
| Other Name | Type Code |
|---|---|
| Mississippi Care Center of DeKalb LLC | Former Legal Business Name - Organization |
| Street Address |
220 WILLOW AVE |
| City | DEKALB |
| State | MS |
| Zip Code | 39328-0577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
| 1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
| 1376978551 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 30 Ponderosa Avenue, Dekalb, MS 39328 | 2013-09-06 |
| 1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
| 1225148158 | Daniel Elliot Fulton Jr. | Dentist | Hwy 39 S Church Street, Dexalb, MS 39328 | 2006-08-30 |
| 1831116300 | Freds Stores of Tennessee Inc | Pharmacy | 14916 Hwy 16 West, Dekalb, MS 39328 | 2006-07-17 |
| 1558601609 | Annetta Merideth | Massage Therapist | 16657 Highway 16 E, De Kalb, MS 39328-5511 | 2013-02-27 |
| 1144494022 | Obp Homemaker Services, Inc. | Preferred Provider Organization | 931 Frank Mcdaniel Rd, De Kalb, MS 39328-7653 | 2008-04-22 |
| Find all providers in zip 39328 | ||||
| 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 |
|---|---|---|---|---|
| 1629298195 | Dekalb Area Retirement Center | Skilled Nursing Facility | 2944 Greenwood Acres Drive, Dekalb, IL 60115-4949 | 2007-04-26 |
| 1972522134 | Pine Acres Rehab & Living Ctr | Skilled Nursing Facility | 1212 S 2nd St, Dekalb, IL 60115-4435 | 2006-07-19 |
| 1871593574 | Bethany Health, L.L.C. | Skilled Nursing Facility | 3298 Resource Pkwy, Dekalb, IL 60115-5331 | 2005-07-26 |
| 1124640511 | Aperion Care Dekalb LLC | Skilled Nursing Facility | 1212 S 2nd St, Dekalb, IL 60115-4435 | 2020-05-08 |
| 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 |
| 1053834747 | St. Catherine's Village, Inc | Skilled Nursing Facility | 200 Dominican Dr, Madison, MS 39110-8630 | 2017-07-25 |
| 1851839435 | Parker Medical Services, LLC | Skilled Nursing Facility | 1060 Lisa Ln, Terry, MS 39170-8092 | 2017-02-03 |
| 1114386687 | Genesis Healthcare | Skilled Nursing Facility | 2142 E Whitworth St, Hazlehurst, MS 39083-9277 | 2016-02-12 |
| 1003274150 | Vincent Huffstutler | Skilled Nursing Facility | 201 Mary Ellen Dr, Ripley, MS 38663-1658 | 2016-02-04 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1679819890 | Global Home Care, LLC | Skilled Nursing Facility | 4213 Pruitt Rd, West Point, MS 39773-4517 | 2012-12-14 |
| 1740526961 | Better Living Home Care, LLC | Skilled Nursing Facility | 1295 Simpson Park Rd, Weir, MS 39772-8805 | 2012-12-14 |
| 1700132065 | The Arbor | Skilled Nursing Facility | 600 S Pear Orchard Rd, Ridgeland, MS 39157-4221 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
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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.