Pinecrest Guest Home

LBN: Pinecrest Llc
Pinecrest Guest Home is an health care organization with primary practice located at 133 Pine St , Hazlehurst MS 39083-2309. 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. Pinecrest Llc can be contacted via phone (601) 894-1411, or through Guins, George Ron via phone (318) 686-0040.

Contact Information

Primary practice address
133 Pine St Hazlehurst MS 39083-2309
Phone: (601) 894-1411
Fax: (601) 894-3282
Website:
Map and Directions
Authorized official contact:
Name: Guins, George Ron
Phone: (318) 686-0040

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 366 Mississippi

Profile Details

NPI number 1134116825
LBN Legal business name Pinecrest Llc
DBA Doing business as Pinecrest Guest Home
Authorized official Guins, George Ron
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1134116825 NPPES
Mississippi MEDICAID 00230140

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