Madison Community Care Center Llc in Ridgeland - Skilled Nursing Facility

Madison Community Care Center Llc - NPI 1164470225

Madison Community Care Center Llc is a Skilled Nursing Facility in Ridgeland, Mississippi. Madison Community Care Center Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Madison Community Care Center Llc is 1164470225. The last update date is 2013-04-30.

Madison Community Care Center Llc's current location address is 638 Highland Colony Pkwy, Ridgeland, Mississippi. You can contact this provider via phone number 6018530415 and fax number 6018530515. The mailing address for Madison Community Care Center Llc is 638 Highland Colony Pkwy, Ridgeland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Madison Community Care Center Llc
Address 638 Highland Colony Pkwy, Ridgeland, Mississippi
Phone Number 6018530415
Fax Number 6018530515
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AUTHORIZED
Authorized Official Name Parkinson Toni
Telephone Number 6017091408

NPI Number Detail

NPI Number 1164470225
Provider Enumeration Date 2006-05-04
Last Updated Date 2013-04-30

Provider Mailing Address Detail

Address 638 Highland Colony Pkwy
City Ridgeland
State Mississippi (MS)
Post Code 391578724
Phone Number 6018530415
Fax Number 6018530515

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 934
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
230169 MS --
80391 MS BLUE CROSS BLUE SHIELD MS

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FAQs about Madison Community Care Center Llc

What is the Madison Community Care Center Llc's 1164470225?

The Madison Community Care Center Llc's NPI (National Provider Identifier) Number is 1164470225. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Madison Community Care Center Llc is located?

The Madison Community Care Center Llc is situated at the following address: 638 Highland Colony Pkwy, Ridgeland, MS, 391578724.

What is Madison Community Care Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Madison Community Care Center Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.

On what date did Madison Community Care Center Llc receive its 1164470225 assignment from the Centers for Medicare & Medicaid Services?

The Madison Community Care Center Llc was assigned its 1164470225 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Madison Community Care Center Llc's information last updated?

The Madison Community Care Center Llc's information was last updated on 2013-04-30.

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