Organization Active NPI

Queen City Nursing Center Inc

  • Skilled Nursing Facility
  • Meridian, MS
National Provider Identifier
1093702144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
219 Issued in MS
Legal business name
QUEEN CITY NURSING CENTER INC
Practice address
1201 28TH Ave
Meridian, MS 39301-3810
Phone
(601) 483-1467
Fax
(601) 483-1483
NPI assigned
Oct 4, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Barbara Howard
Title
Administrator
Phone
(601) 483-1467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 219 MS Primary

Addresses

Primary practice location

1201 28TH Ave
Meridian, MS 39301-3810

Mailing address

1201 28TH Ave
Meridian, MS 39301-3810
Phone (601) 483-1467

Other identifiers 1

IdentifierTypeStateIssuer
00230008MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093702144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 28TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013810",
            "telephone_number": "601-483-1467",
            "fax_number": "601-483-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 28TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013810",
            "telephone_number": "601-483-1467",
            "fax_number": "601-483-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-483-1467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230008",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.