Leake Extended Care Facility in Carthage - Nursing Facility/intermediate Care Facility
Leake Extended Care Facility - NPI 1750456034
Leake Extended Care Facility is a Nursing Facility/intermediate Care Facility in Carthage, Mississippi. Leake Extended Care Facility practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Leake Extended Care Facility is 1750456034. The last update date is 2020-08-22.
Leake Extended Care Facility's current location address is 310 Ellis St, Carthage, Mississippi. You can contact this provider via phone number 6012671100 and fax number 6012671211. The mailing address for Leake Extended Care Facility is 310 Ellis St, Carthage, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leake Extended Care Facility |
|---|---|
| Address | 310 Ellis St, Carthage, Mississippi |
| Phone Number | 6012671100 |
| Fax Number | 6012671211 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTANT |
|---|---|
| Authorized Official Name | Goolsby Sandy |
| Telephone Number | 6012671100 |
NPI Number Detail
| NPI Number | 1750456034 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 310 Ellis St |
|---|---|
| City | Carthage |
| State | Mississippi (MS) |
| Post Code | 390513809 |
| Phone Number | 6012671100 |
| Fax Number | 6012671211 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 214 |
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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 reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 230186 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Leake Extended Care Facility by the Centers for Medicare & Medicaid Services?
The Leake Extended Care Facility has been issued the NPI (National Provider Identifier) 1750456034 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Leake Extended Care Facility's physical address?
The Leake Extended Care Facility is physically located at 310 Ellis St, in the city of Carthage, MS, with the postal code 390513809.
What is the Leake Extended Care Facility's area of specialization and corresponding taxonomy classification?
The Leake Extended Care Facility's specialty field is Nursing Facility/intermediate Care Facility, and it falls under the taxonomy code 313M00000X, which categorizes healthcare providers based on their specialties.
On what date did the Leake Extended Care Facility receive the assignment of its 1750456034 from the Centers for Medicare & Medicaid Services?
The Leake Extended Care Facility was issued its 1750456034 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information pertaining to Leake Extended Care Facility most recently updated or revised?
The details related to Leake Extended Care Facility, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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