HOLISTIC GERIATRIC CARE LLC


Address: 10026 Lizelia Rd, Meridian, MS 39305-9595
Phone: 6015277585

HOLISTIC GERIATRIC CARE LLC (NPI# 1699108860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699108860
Entity Type Organization
Organization Name HOLISTIC GERIATRIC CARE LLC
Practice Address 10026 Lizelia Rd
Meridian
MS 39305-9595
Practice Telephone 6015277585
Enumeration Date 2013-08-12
Last Update Date 2013-08-12
Authorized Official Name MARY S STEWART (CEO)
Authorized Official Telephone 6015277585
Authorized Official Credential CNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 04689005 05

Office Location

Street Address 10026 LIZELIA RD
City MERIDIAN
State MS
Zip Code 39305-9595

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013521053 Shirley Home Care, LLC Nurse's Aide 4525 Poplar Springs Drive, Meridian, MS 39305 2020-09-08
1871017855 Robbyn Lee Nurse Practitioner 4715 24th Place, Meridian, MS 39305 2017-08-01
1245686575 Synergy Physical Therapy & Sports Medicine, LLC Clinic/Center 2447 47th Court, Suite F, Meridian, MS 39305 2016-05-05
1912305988 Anderson Regional Medical Center Family Medicine 6694 Poplar Springs Drive, Meridian, MS 39305 2014-12-08
1861817603 Meadowbrook Health & Rehab LLC Skilled Nursing Facility 211 Windmill Drive, Meridian, MS 39305 2014-03-04
1982042198 Kennerh Provine Collins Pharmacist 2917 56th Court, Meridian, MS 39305 2013-06-10
1306284880 A1 In Home Therapy Community Health Worker 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 2013-06-06
1497192876 Taylor Farland Dentist 2300 North Hills, Meridian, MS 39305 2013-05-27
1376814533 Priscilla Miller Nurse Practitioner 4715 42nd Place, Meridian, MS 39305 2012-01-19
1497083927 Kelley C Gowdy Nurse Practitioner 4711 Poplar Springs Drive, Meridian, MS 39305 2009-11-20
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972689313 East Mississippi State Hospital Nursing Facility/Intermediate Care Facility 4555 Highland Park Drive, Meridian, MS 39307-2903 2006-10-27
1629394853 East Mississippi State Hospital Nursing Facility/Intermediate Care Facility 4555 Highland Park Dr, Meridian, MS 39307-5429 2010-04-13
1306080320 Meridian Helping Hands Inc Nursing Facility/Intermediate Care Facility 1015 N Main, Meridian, TX 76665-4632 2009-04-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467842641 Crossroads Adult Day Care Nursing Facility/Intermediate Care Facility 519 S Church St, Brookhaven, MS 39601-3807 2015-01-27
1538492111 Iva Ward LLC Nursing Facility/Intermediate Care Facility 711 Melrose Montebello Pkwy, Natchez, MS 39120-4924 2009-09-14
1295961969 River Oaks Management, LLC Nursing Facility/Intermediate Care Facility 501 Highway 80 E, Brandon, MS 39042-3257 2009-06-08
1063697340 North Bolivar School District Nursing Facility/Intermediate Care Facility 615 School Street, Duncan, MS 38740 2008-01-04
1659555761 Tallahatchie General Hospital and Extended Care Facility Nursing Facility/Intermediate Care Facility 201 South Market Street, Charleston, MS 38921 2007-12-26
1568683498 Whitfield Nursing Home, Inc. Nursing Facility/Intermediate Care Facility 2101 Proper St, Corinth, MS 38834-5247 2007-05-01
1265656391 Gilberto Patino Nursing Facility/Intermediate Care Facility 419 Elizabeth Drive, Leakesville, MS 39451 2007-04-12
1013048453 Bruce Nursing Center, Inc. Nursing Facility/Intermediate Care Facility 176 Hwy 9 South, Bruce, MS 38915 2007-03-08
1326178203 Smith County Ltc, LLC Nursing Facility/Intermediate Care Facility 309 Magnolia Drive, Raleigh, MS 39153 2007-03-07
1346378387 Care Center of Clinton Nursing Facility/Intermediate Care Facility 1251 Pinehaven Rd, Clinton, MS 39056-3455 2007-03-01
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Competitor

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City MERIDIAN
Zip Code 39305

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Dataset Information

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.

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