LTAC HOSPITAL OF GREENWOOD, LLC (NPI# 1619109535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619109535 |
| Entity Type | Organization |
| Organization Name | LTAC HOSPITAL OF GREENWOOD, LLC |
| Practice Address |
1401 River Rd 2nd Floor Greenwood MS 38930-4030 |
| Mailing Address |
101 La Rue France Ste 500 Lafayette LA 70508-3144 |
| Practice Telephone | 6624515172 |
| Mailing Telephone | 3372699566 |
| Mailing Fax Number | 3372699823 |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2009-08-11 |
| Authorized Official Name | MS. JESSICA L MCGEE (CFO) |
| Authorized Official Telephone | 3372699566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | Hospitals |
| Street Address |
1401 RIVER RD 2ND FLOOR |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948264 | Greenwood Anesthesia & Pain Mgmt, Pllc | Anesthesiology | 1401 River Rd, Anesthesia Department, Greenwood, MS 38930-4030 | 2005-11-09 |
| 1760024442 | Paula Perryman Mcdowell | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-10-14 |
| 1154973345 | Angela Seto Hudson | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930 | 2019-07-09 |
| 1245892777 | Carol Clark Moses | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-07-04 |
| 1003477449 | Kara Austin | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-06-26 |
| 1902362734 | Tammie Marshell Brown | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2019-02-18 |
| 1023591559 | William Jesse Hodnett IIi | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-09-11 |
| 1184129306 | Tammarin S Collins | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2018-03-28 |
| 1467976548 | Michele Latonya Brooks | Nurse Practitioner | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-07-31 |
| 1386185197 | Alliance Healthcare Services Inc | Clinic/Center | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417032996 | Transitional Hospitals Corporation of Indiana, Inc. | Long Term Care Hospital | 607 Greenwood Springs Drive, Greenwood, IN 46143-1407 | 2006-10-25 |
| 1720087620 | Select Specialty Hospital - Indianapolis Inc | Long Term Care Hospital | 898 E Main St, Greenwood, IN 46143-1407 | 2005-07-21 |
| 1801977103 | Greenwood Specialty Hospital II | Long Term Care Hospital | 1401 River Rd, 2nd Floor, Greenwood, MS 38930-4030 | 2006-10-17 |
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|---|---|---|---|---|
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| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1982606570 | Regency Hospital of Hattiesburg, LLC | Long Term Care Hospital | 125 S 25th Ave, Hattiesburg, MS 39401-6031 | 2005-08-12 |
| 1952303778 | Regency Hospital Company of Meridian, LLC | Long Term Care Hospital | 1102 Constitution Ave, 2nd Floor, Meridian, MS 39301-4001 | 2005-08-11 |
| 1518967280 | Select Specialty Hospital - Gulf Coast Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2005-07-26 |
| 1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
| 1124682570 | Kpc Promise Hospital of Vicksburg LLC | Long Term Care Hospital | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2019-04-30 |
| 1619326014 | Select Specialty Hospital - Belhaven, LLC | Long Term Care Hospital | 1225 N State St, Jackson, MS 39202-2064 | 2016-06-07 |
| 1255661203 | Select Employment Services, Inc | Long Term Care Hospital | 1520 Broad Ave, Gulfport, MS 39501-3601 | 2010-01-13 |
| 1154560290 | Allegiance Specialty Hospital of Greenville, LLC | Long Term Care Hospital | 300 Washington Ave, Greenville, MS 38701-3614 | 2009-02-12 |
| 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.