The Grove Outpatient Therapy Clinic

LBN: 2Nd Generation Healthcare, Llc
The Grove Outpatient Therapy Clinic is an health care organization with primary practice located at 11 Pecan Drive , Columbia MS 39429. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 2Nd Generation Healthcare, Llc can be contacted via phone (601) 736-4747, or through Bradshaw, Michael via phone (601) 736-4747.

Contact Information

Primary practice address
11 Pecan Drive Columbia MS 39429
Phone: (601) 736-4747
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bradshaw, Michael
Phone: (601) 736-4747

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 461 Mississippi

Profile Details

NPI number 1356651772
LBN Legal business name 2Nd Generation Healthcare, Llc
DBA Doing business as The Grove Outpatient Therapy Clinic
Authorized official Bradshaw, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2010
Last updated Jun 1st, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356651772 NPPES
Mississippi MEDICAID 08039271
Mississippi Other 255316

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