538 Menge Avenue Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

538 MENGE AVENUE OPERATIONS, LLC

Practice address

538 Menge Ave
Pass Christian, MS 39571-4234

Phone

(228) 452-4344

Fax

(228) 452-2264

NPI assigned

Mar 17, 2022

Organization subpart

No

Name

Tim Lehner

Title

Manager

Phone

(770) 698-9040

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

• John Nolan Grady, M.D.

  • Hospitalist Physician
  • Gulfport, MS
  • NPI 1871933291

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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

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  • Skilled Nursing Facility
  • Starkville, MS
  • NPI 1265240113

  SNF MGR LLC

  CMS ownership
• 101 Kirkland Street Opco LLC

  • Skilled Nursing Facility
  • Union, MS
  • NPI 1851109896

  SNF MGR LLC

  CMS ownership
• 1199 Ocean Springs Road Operations, LLC

  • Skilled Nursing Facility
  • Ocean Springs, MS
  • NPI 1326795923

  SNF MGR LLC

  CMS ownership
• 1304 Walnut Street Operations, LLC

  • Skilled Nursing Facility
  • Waynesboro, MS
  • NPI 1598412199

  SNF MGR LLC

  CMS ownership
• 1530 Broad Avenue Operations, LLC

  • Skilled Nursing Facility
  • Gulfport, MS
  • NPI 1306593900

  SNF MGR LLC

  CMS ownership
• 340 Desoto Avenue Ext Operations, LLC

  • Skilled Nursing Facility
  • Clarksdale, MS
  • NPI 1932856531

  SNF MGR LLC

  CMS ownership
• 3716 Highway 39 North Opco LLC

  • Skilled Nursing Facility
  • Meridian, MS
  • NPI 1306654355

  SNF MGR LLC

  CMS ownership
• 501 South Locust Street Opco LLC

  • Skilled Nursing Facility
  • McComb, MS
  • NPI 1437967536

  SNF MGR LLC

  CMS ownership
• 555 John R Junkin Drive Opco LLC

  • Skilled Nursing Facility
  • Natchez, MS
  • NPI 1215745252

  SNF MGR LLC

  CMS ownership
• 627 Middleton Road Opco LLC

  • Skilled Nursing Facility
  • Winona, MS
  • NPI 1285442137

  SNF MGR LLC

  CMS ownership
• 1000 Stacie Drive Opco LLC

  • Skilled Nursing Facility
  • Hazleton, PA
  • NPI 1174331029

  SNF MGR LLC

  CMS ownership
• 1000 Tandall Place Opco LLC

  • Skilled Nursing Facility
  • Knightdale, NC
  • NPI 1790593648

  SNF MGR LLC

  CMS ownership

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Nolan Grady, M.D.

  • Hospitalist Physician
  • Gulfport, MS
  • NPI 1871933291
  NPD (past)

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

• John Nolan Grady, M.D.

  • Hospitalist Physician
  • Gulfport, MS
  • NPI 1871933291

  Nursing home

  Care Compare affiliation

Listed as

Pass Christian Health and Rehabiliation CenterCCN 255287

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 1, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6051.0 residents per day on average

Chain

Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care11 facilities in the chain

Penalties (3 years)

1Fines totaling $8,224

Processed by Care Compare on Aug 1, 2026.

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Legal name

538 MENGE AVENUE OPERATIONS, LLC

Doing business as

PASS CHRISTIAN HEALTH AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 2002

Last certification

Apr 24, 2024

Beds

60

Ownership / control type

Corporation

Multi-facility organization

Avardis Health

Organization structure

LLCProprietary

Incorporated

Dec 15, 2021 in FL

Enrollment address

538 Menge Ave
Pass Christian, MS 39571-4234

Nursing home name

PASS CHRISTIAN HEALTH AND REHABILIATION CENTER

Affiliated entity

CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE

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

• Pass Christian Health and Rehabilitation Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2024.

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1124776232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 MENGE AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714234",
            "telephone_number": "228-452-4344",
            "fax_number": "228-452-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 MENGE AVE",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714234",
            "telephone_number": "228-452-4344",
            "fax_number": "228-452-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "538 MENGE AVENUE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000230105",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "affiliationName": "Consulate Healthcare",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pass Christian Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pass Christian Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Pass Christian, MS
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.