Countrybrook Living Center

LBN: Ssc Brookhaven Operating Company Llc
Countrybrook Living Center is an health care organization with primary practice located at 525 Brookman Dr , Brookhaven MS 39601-2326. 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. Ssc Brookhaven Operating Company Llc can be contacted via phone (601) 833-2330, or through Santoro, Kelle C via phone (832) 467-5728.

Contact Information

Primary practice address
525 Brookman Dr Brookhaven MS 39601-2326
Phone: (601) 833-2330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Santoro, Kelle C
Phone: (832) 467-5728

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 441 Mississippi

Profile Details

NPI number 1144341751
LBN Legal business name Ssc Brookhaven Operating Company Llc
DBA Doing business as Countrybrook Living Center
Authorized official Santoro, Kelle C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Nov 11th, 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 1144341751 NPPES
Mississippi MEDICAID 02027871

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