Hattiesburg Convalescent Center

LBN: Hattiesburg Convalescent Home, Inc.
Hattiesburg Convalescent Center is an health care organization with primary practice located at 514 Bay St , Hattiesburg MS 39401-3933. 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. Hattiesburg Convalescent Home, Inc. can be contacted via phone (601) 544-4230, or through Mcmahan, Jewell C via phone (601) 544-4230.

Contact Information

Primary practice address
514 Bay St Hattiesburg MS 39401-3933
Phone: (601) 544-4230
Fax: (601) 582-2480
Website:
Map and Directions
Authorized official contact:
Name: Mcmahan, Jewell C
Phone: (601) 544-4230

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 25 Mississippi

Profile Details

NPI number 1922096866
LBN Legal business name Hattiesburg Convalescent Home, Inc.
DBA Doing business as Hattiesburg Convalescent Center
Authorized official Mcmahan, Jewell C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1922096866 NPPES
Mississippi MEDICAID 0023061

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