Sme I - Iuka, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SME I - IUKA, LLC

Doing business as

Southern Magnolia Estates

Practice address

1308 N Pearl St
Iuka, MS 38852-7423

Phone

(662) 424-0023

NPI assigned

Feb 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cheryl Westlake

Title

Operations Manager

Phone

(256) 929-7536

Specialties & licenses 1

Addresses

Other names 1

• Southern Magnolia Estates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1003409665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N PEARL ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388527423",
            "telephone_number": "662-424-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 N PEARL ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388527423",
            "telephone_number": "662-424-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SME I - IUKA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "WESTLAKE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "256-929-7536"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Magnolia Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Beth Sheffield, MS, RDN, LD
• Eloy V. Silva Jr.
• Brittany Sims, NP
• Valerie Vernice Sims
• Sitters and More, Inc.
• Brian Keith Smith, MSW
• Misty Lane Smith, PCMHT
• Crystal South, R.N.
• Teresa M South, NURSE PRACTITIONER
• Catherine Aston Spain

• Assisted Living Facility in Iuka, MS
• Providers in Iuka, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.