Calhoun Health Services Nursing Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1084 Issued in MS

Legal business name

CALHOUN HEALTH SERVICES NURSING HOME

Doing business as

Calhoun County Nursing Home

Practice address

152 Burke Calhoun City Rd
Calhoun City, MS 38916

Phone

(662) 628-6611

Fax

(662) 628-5707

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By 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

Mandy Suber

Title

Director of Fiscal Services

Phone

(662) 628-6611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Calhoun County Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093811903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "38916",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "38916",
            "telephone_number": "662-628-6611",
            "fax_number": "662-628-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN HEALTH SERVICES NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "DIRECTOR OF FISCAL SERVICES",
        "authorized_official_telephone_number": "662-628-6611"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": "1084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023023",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calhoun County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Calhoun City, MS
• Providers in Calhoun City, MS by specialty
• Nursing Facility/Intermediate Care Facility in Mississippi

• 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.