Organization Active NPI

Lafayette LTC, Inc

Doing business as Oxford Health & Rehab Center

  • Skilled Nursing Facility
  • Oxford, MS
National Provider Identifier
1124135827
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
185 Issued in MS
Legal business name
LAFAYETTE LTC, INC
Doing business as
Oxford Health & Rehab Center
Practice address
1301 Belk Blvd
Oxford, MS 38655-5301
Phone
(662) 234-7821
Fax
(662) 234-0294
NPI assigned
Aug 25, 2006
Last updated
Jan 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Mr. Gene Bennett Hubbard Jr.
Title
Owner
Phone
(601) 849-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 185 MS Primary

Addresses

Primary practice location

1301 Belk Blvd
Oxford, MS 38655-5301

Mailing address

1301 Belk Blvd
Oxford, MS 38655-5301
Phone (662) 234-7821

Other identifiers 1

IdentifierTypeStateIssuer
00230078MedicaidMS

Other names 1

  • Oxford Health & Rehab Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000727 MS Part A Provider - Skilled Nursing Facility 5092608943 Practice locations: Oxford, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124135827. Details of each certification follow.

Skilled nursing facility certification: CCN 255269

Legal name
LAFAYETTE LTC, INC
Doing business as
GRACELAND CARE CENTER OF OXFORD
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 2001
Last certification
Sep 5, 2024
Beds
120
Ownership / control type
Corporation
Multi-facility organization
Advanced Healthcare Management
Organization structure
CorporationProprietary
Incorporated
Sep 3, 2003 in MS
Enrollment address
1301 Belk Blvd
Graceland Care Center of Oxford
Oxford, MS 38655-5301
Nursing home name
OXFORD HEALTH & REHAB CENTER
Affiliated entity
ADVANCED HEALTH CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oxford Health & Rehab CenterCCN 255269 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120102.4 residents per day on average
Chain
Advanced Health Care Management6 facilities in the chain
Penalties (3 years)
1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0669964Oxford Health and Rehab Center1301 Belk Blvd, Oxford, MS 38655Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Troy Griffin Individual 5% Or Greater Indirect Ownership Interest Sep 3, 2003 50%
Corporate OfficerPresident Sep 3, 2003 50%
W-2 Managing EmployeePresident Sep 3, 2003 50%
Gene B Hubbard Individual 5% Or Greater Indirect Ownership Interest Sep 3, 2003 50%
Corporate OfficerVP Sep 3, 2003 50%
W-2 Managing EmployeeVP Sep 3, 2003 50%
Advanced Healthcare Management, Inc Organization, Magee, MS Corporation 5% Or Greater Direct Ownership Interest Sep 3, 2003 100%
Operational/Managerial Control Sep 3, 2003 100%

Facilities with the same owner 3

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1124135827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-234-7821",
            "fax_number": "662-234-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555301",
            "telephone_number": "662-234-7821",
            "fax_number": "662-234-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE LTC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-849-2294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230078",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.