Organization Active NPI

Martha Coker Home, Inc.

Doing business as Martha Coker Home

  • Skilled Nursing Facility
  • Yazoo City, MS
National Provider Identifier
1144499245
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
152 Issued in MS
Legal business name
MARTHA COKER HOME, INC.
Doing business as
Martha Coker Home
Practice address
2041 Grand Avenue
Yazoo City, MS 39194
Phone
(662) 844-8977
Fax
(662) 690-6643
NPI assigned
Feb 22, 2008
Organization subpart
Yes
Parent organization
MISSISSIPPI METHODIST SENIOR SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mr. Steve McAlilly
Title
Ceo
Phone
(662) 844-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 152 MS Primary

Addresses

Primary practice location

2041 Grand Avenue
Yazoo City, MS 39194

Mailing address

PO Box 1567
Tupelo, MS 38802-1567
Phone (662) 844-8977

Other identifiers 1

IdentifierTypeStateIssuer
08107516MedicaidMS

Other names 1

  • Martha Coker Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080818000194 MS Part A Provider - Skilled Nursing Facility 4587739123 Practice locations: Yazoo City, MS

Skilled nursing facility certification: CCN 255327

Legal name
MARTHA COKER HOME, INC.
Doing business as
MARTHA COKER GREEN HOUSE HOMES
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 10, 2008
Last certification
Sep 26, 2024
Beds
60
Ownership / control type
Nonprofit Corporation
Multi-facility organization
Methodist Senior Services
Organization structure
CorporationNon-profit
Enrollment address
2041 Grand Ave
Martha Coker Green House Homes
Yazoo City, MS 39194-2319
Nursing home name
MARTHA COKER GREEN HOUSE HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Martha Coker Green House HomeCCN 255327 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6053.6 residents per day on average

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
25D0938222Martha Coker Home Inc Green Houses2041 Grand Avenue, Yazoo City, MS 39194Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Heath E Scott Individual Adp of the SNF Jan 1, 2025
Alan Dwight Brown Individual Corporate Director Oct 1, 2008
Martha Coker Home, Inc. Organization, Yazoo City, MS Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2008
Operational/Managerial Control Nov 28, 2006
Adp of the SNF Nov 28, 2006
James Zuelzke Individual Corporate OfficerCfo Jun 29, 2020 100%
Operational/Managerial Control Jun 29, 2020
Adp of the SNF Jun 29, 2020
Christie Vance Individual Corporate OfficerCoo Mar 23, 2020 100%
Corporate Director Oct 1, 2008
Operational/Managerial Control Mar 23, 2020
Adp of the SNF Mar 23, 2020
Jennifer Bowman Individual Corporate DirectorExecutive Director Jan 27, 2020
Operational/Managerial Control Jan 27, 2020
Adp of the SNF Jan 27, 2020

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

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": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1144499245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388021567",
            "telephone_number": "662-844-8977",
            "fax_number": "662-690-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GRAND AVENUE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-844-8977",
            "fax_number": "662-690-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA COKER HOME, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSISSIPPI METHODIST SENIOR SERVICES, INC.",
        "enumeration_date": "2008-02-22",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "MCALILLY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-844-8977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08107516",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martha Coker Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.