Leakesville Rehabilitation and Nursing Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEAKESVILLE REHABILITATION AND NURSING CENTER, INC.

Practice address

1300 Melody LN
Leakesville, MS 39451-6530

Phone

(601) 394-2331

NPI assigned

Sep 10, 2009

Last updated

Sep 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Starann Lamier

Title

Coo

Phone

(228) 832-4220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043543929. Details of each certification follow.

• CCN 255179 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 255179

Legal name

LEAKESVILLE REHABILITATION AND NURSING CENTER, INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 1, 1994

Last certification

May 9, 2024

Beds

60

Ownership / control type

Corporation

Multi-facility organization

Corporate Management Incorporated

Organization structure

CorporationProprietary

Incorporated

Aug 21, 2009 in MS

Enrollment address

1300 Melody Lane
Leakesville Rehabilitation and Nursing Center, Inc
Leakesville, MS 39451-6530

Nursing home name

LEAKESVILLE REHABILITATION AND NURSING CENTER, INC

Listed as

Leakesville Rehabilitation and Nursing Center, IncCCN 255179 · All quality measures

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Sep 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6050.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Michael Holger Albert, MD

  • Family Medicine Physician
  • Richland, MS
  • NPI 1679562094

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Memorial Hospital at Gulfport

  dba Memorial Woodland Village Nursing Center

  • Skilled Nursing Facility
  • Diamondhead, MS
  • NPI 1619066248

  Corporate Management, Inc.

  CMS ownership
• Stone County Rehabilitation and Nursing Center Inc

  dba Memorial Stone County Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Wiggins, MS
  • NPI 1194815365

  Corporate Management, Inc., Evan Trace Cain GST Trust, Logan Patrick Cain GST Trust

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Holger Albert, MD

  • Family Medicine Physician
  • Richland, MS
  • NPI 1679562094
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1043543929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 3269",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395053269",
            "telephone_number": "228-832-4220",
            "fax_number": "228-832-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MELODY LN",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394516530",
            "telephone_number": "601-394-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAKESVILLE REHABILITATION AND NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "LAMIER",
        "authorized_official_first_name": "STARANN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "228-832-4220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rodney Long
• Amy Malinda Lott, NURSE PRACTITIONER
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• Charles A May, FNP
• Eric Ashley McCraney, CRNP

• Skilled Nursing Facility in Leakesville, MS
• Providers in Leakesville, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.