Active NPI
Martha Coker Home, Inc.
Doing business as Martha Coker Home
- Skilled Nursing Facility
- Yazoo City, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 152
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08107516 | Medicaid | MS |
Other names 1
- Martha Coker Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 10, 2008
- Medicare certification status
- Active
- Certified beds
- 60
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0938222 | Martha Coker Home Inc Green Houses | Certificate of waiver | Jan 1, 2028 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Heath E Scott | Adp of the SNF | Jan 1, 2025 | |
| Alan Dwight Brown | Corporate Director | Oct 1, 2008 | |
| Martha Coker Home, Inc. | 5% Or Greater Direct Ownership Interest | Oct 1, 2008 | |
| Operational/Managerial Control | Nov 28, 2006 | ||
| Adp of the SNF | Nov 28, 2006 | ||
| James Zuelzke | Corporate Officer | Jun 29, 2020 | 100% |
| Operational/Managerial Control | Jun 29, 2020 | ||
| Adp of the SNF | Jun 29, 2020 | ||
| Christie Vance | Corporate Officer | Mar 23, 2020 | 100% |
| Corporate Director | Oct 1, 2008 | ||
| Operational/Managerial Control | Mar 23, 2020 | ||
| Adp of the SNF | Mar 23, 2020 | ||
| Jennifer Bowman | Corporate 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.
-
- Family Medicine Physician
- Yazoo City, MS
- NPI 1205881489
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.