Winona Manor Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

553 Issued in MS

Legal business name

WINONA MANOR HEALTHCARE LLC

Practice address

627 Middleton Rd
Winona, MS 38967-2021

Phone

(662) 283-1260

Fax

(662) 283-4704

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Tim Lehner

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Winona Manor Health Care and Rehabilitation Center Doing business as

Electronic endpoints 1

Practitioners 2

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

• Steven Dewayne Gammel, MD

  • Family Medicine Physician
  • Winona, MS
  • NPI 1659550127
  NPD (past)
• Steven Keith Rushing, M.D.

  • Family Medicine Physician
  • Winona, MS
  • NPI 1881600492
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1144267709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 MIDDLETON RD",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672021",
            "telephone_number": "662-283-1260",
            "fax_number": "662-283-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 MIDDLETON RD",
            "city": "WINONA",
            "state": "MS",
            "postal_code": "389672021",
            "telephone_number": "662-283-1260",
            "fax_number": "662-283-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA MANOR HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "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": "MS",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000220165",
            "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",
            "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": "Winona Manor Health Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Winona Manor Health Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce T Welch, RPH
• Taylor Thornton Wier, M.S. CCC-SLP
• Ashley N Willis, BSW
• Caitlin Wilson
• Winona Drugs
• Winona School District
• Winona Separate School District

• Skilled Nursing Facility in Winona, MS
• Providers in Winona, 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 Sep 13, 2024; 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.