NPIMap

Organization Active NPI

Covington County Hospital

Doing business as Arrington Living Center

  • Skilled Nursing Facility
  • Collins, MS
National Provider Identifier
1053615518
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COVINGTON COUNTY HOSPITAL
Doing business as
Arrington Living Center
Practice address
701 S Holly Ave
Collins, MS 39428-3894
Phone
(601) 765-6711
NPI assigned
Dec 27, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Kirstie Evans
Title
Cfo
Phone
(601) 698-0126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

701 S Holly Ave
Collins, MS 39428-3894

Mailing address

701 S Holly Ave
Collins, MS 39428-3894
Phone (601) 765-6711

Other names 1

  • Arrington Living Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110223001234 MS Part A Provider - Skilled Nursing Facility 4183517253 Practice locations: Collins, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053615518. Details of each certification follow.

Skilled nursing facility certification: CCN 255331

Legal name
COVINGTON COUNTY HOSPITAL
Doing business as
ARRINGTON LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 8, 2011
Last certification
May 1, 2025
Beds
60
Ownership / control type
City/County
Organization structure
GovernmentNon-profit
Incorporated
Jul 1, 1951 in MS
Enrollment address
701 South Holly Avenue
Arrington Living Center
Collins, MS 39428-3894
Nursing home name
ARRINGTON LIVING CENTER

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

Care Compare: Nursing home

Medicare Care Compare
Listed as
Arrington Living CenterCCN 255331 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - City/county
Certified
Apr 8, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6053.5 residents per day on average
Penalties (3 years)
2Fines totaling $17,727

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Covington Co Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

902 Gerald McRaney St
Collins, MS 39428
Phone (601) 698-0400

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Greg Sanford Individual Corporate DirectorBoard Member Jan 15, 2008 100%
Trustee of the SNF Feb 12, 2012
James McPhail Individual Corporate DirectorBoard Member Jan 15, 2009 100%
Trustee of the SNF Jan 15, 2009
Covington County Hospital Organization, Collins, MS Non-profit 5% Or Greater Direct Ownership Interest May 1, 2011 100%
Operational/Managerial Control May 1, 2011 100%
Charlie Anglin Individual Corporate DirectorBoard Member Oct 8, 2007 100%
Trustee of the SNF Jan 23, 2007
Robert Johnson Individual Corporate DirectorBoard Member Jan 23, 2007 100%
Trustee of the SNF Feb 1, 2015
Harpreet Sood Individual Adp of the SNF May 1, 2022
Greg Sullivan Individual Corporate DirectorBoard Member Oct 8, 2007 100%
Trustee of the SNF Jan 15, 2008
Gregg Gibbes Individual Corporate OfficerAdministrator Apr 28, 2016 100%
Operational/Managerial ControlCeo Apr 28, 2016 100%
Adp of the SNF Apr 28, 2016
Everlean Booth Individual Corporate DirectorBoard Member Nov 18, 2005 100%
Trustee of the SNF Nov 18, 2005

Owners & managing parties with NPI records 16

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

  • Covington County Hospital

    dba Smith County EH Pro Fees

    • Emergency Medical Services (Emergency Medicine) Physician
    • Raleigh, MS
    • NPI 1003654567

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba Family Care Express

    • Rural Health Clinic/Center
    • Collins, MS
    • NPI 1013205350

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba Smith County Emergency Hospital

    • Rural Acute Care Hospital
    • Raleigh, MS
    • NPI 1043051543

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba CCH Clinic Seminary

    • Rural Health Clinic/Center
    • Seminary, MS
    • NPI 1134435498

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital
    • Critical Access Hospital
    • Collins, MS
    • NPI 1215965249

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital
    • Psychiatric Hospital Unit
    • Collins, MS
    • NPI 1225150436

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba Family Care Magee Tuscan Towers

    • Rural Health Clinic/Center
    • Magee, MS
    • NPI 1225704208

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba CCH Clinic Taylorsville

    • Rural Health Clinic/Center
    • Taylorsville, MS
    • NPI 1306460282

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba Green Tree Family Medical Clinic

    • Rural Health Clinic/Center
    • Mount Olive, MS
    • NPI 1336447861

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba Family Care Magee

    • Rural Health Clinic/Center
    • Magee, MS
    • NPI 1346822772

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba Family Care of Main Street

    • Rural Health Clinic/Center
    • Collins, MS
    • NPI 1518260330

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Covington County Hospital

    dba CCH Clinic Family Medical

    • Rural Health Clinic/Center
    • Collins, MS
    • NPI 1598769044

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
View all 16

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Covington County HospitalCollins, MS, CCN 25M325 Hospital 5% Or Greater Direct Ownership Interest Jan 1, 2016
Family Medical AssociatesCollins, MS, CCN 253497 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2016
Family Care ExpressCollins, MS, CCN 258562 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2016
Jan 1, 2016
CCH Clinic MageeMagee, MS, CCN 258597 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Mar 1, 2018
Mar 1, 2018
Express Care SumrallSumrall, MS, CCN 258644 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2020
Family Care of MageeMagee, MS, CCN 258662 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 4, 2021
Jan 4, 2021
Family Care Magee Tuscan TowersMagee, MS, CCN 258660 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2021
Sep 1, 2021

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1053615518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 S HOLLY AVE",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283894",
            "telephone_number": "601-765-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HOLLY AVE",
            "city": "COLLINS",
            "state": "MS",
            "postal_code": "394283894",
            "telephone_number": "601-765-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIRSTIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-698-0126"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arrington Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collins, MS

Sources for this page

Verify at the official NPI Registry.