Shearer Richardson Memorial Nursinghome

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

153 Issued in MS

Legal business name

SHEARER RICHARDSON MEMORIAL NURSINGHOME

Practice address

512 Rockwell Dr
Okolona, MS 38860

Phone

(662) 447-3311

Fax

(662) 447-3856

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Brenda G Wise

Title

Administrator

Phone

(662) 447-3311

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Adelaide Frances Henderson, MD

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1841289279
  NPD (past)
• Harold R Thomas Jr., MD

  • Internal Medicine Physician
  • Amory, MS
  • NPI 1811953888
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1144248253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ROCKWELL DR",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "38860",
            "telephone_number": "662-447-3311",
            "fax_number": "662-447-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 ROCKWELL DR",
            "city": "OKOLONA",
            "state": "MS",
            "postal_code": "38860",
            "telephone_number": "662-447-3311",
            "fax_number": "662-447-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEARER RICHARDSON MEMORIAL NURSINGHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-447-3311"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230091",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Management Group
• Progressive Health of Houston, LLC
• Adam Charles Roye, DMD
• Rural Healthcare Developers, Inc.
• RXS Okolona LLC
• William D Simpson, D.M.D.
• Donald Smith, DO
• Southern Health Corp of Houston, Inc.
• Southern Health Corp. of Houston, Inc.
• Lawrence Marvin Tierce, PT

• Skilled Nursing Facility in Okolona, MS
• Providers in Okolona, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.