NPIMap

Organization Active NPI

Mississippi LTAC Holdings, LLC

Doing business as North Mississippi Specialty Hospital

  • Long Term Care Hospital
  • Batesville, MS
National Provider Identifier
1144983685
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
MISSISSIPPI LTAC HOLDINGS, LLC
Doing business as
North Mississippi Specialty Hospital
Practice address
303 Medical Center Dr Ste B
Batesville, MS 38606-8608
Phone
(662) 703-4167
NPI assigned
Oct 21, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Jessica L McGee
Title
Cfo
Phone
(337) 269-9566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

303 Medical Center Dr Ste B
Batesville, MS 38606-8608

Mailing address

101 La Rue France Ste 100
Lafayette, LA 70508-3138
Phone (337) 269-9566

Other names 1

  • North Mississippi Specialty Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211130001800 MS Part A Provider - Hospital 5395135677 Practice locations: Batesville, MS
O20220809001499 MS Part B Supplier - Hospital Department(S) 5395135677 Receives reassigned benefits from 10 practitioners
Practice locations: Batesville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144983685. Details of each certification follow.

Hospital certification: CCN 252014

Legal name
MISSISSIPPI LTAC HOLDINGS, LLC
Doing business as
NORTH MISSISSIPPI SPECIALTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Mar 31, 2022
Last certification
Mar 31, 2022
Beds
31
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Mar 25, 2015 in MS
Enrollment address
303 Medical Center Dr
Ste B
Batesville, MS 38606-8608
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
North Mississippi Specialty HospitalCCN 252014 · All quality measures
Ownership
For profit
Certified
Mar 31, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Beds
31

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Rantz IV Enterprises LLC Organization, Lafayette, LA LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2023 40%
Timothy W Howard Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2023 40%
Corporate OfficerCeo Nov 1, 2023 50%
Jessica L McGee Individual 5% Or Greater Indirect Ownership InterestCfo Nov 1, 2023 10%
Corporate OfficerCfo Dec 15, 2021 50%
North Mississippi-Amg Specialty Hospital, Inc. Organization, Lafayette, LA Corporation 5% Or Greater Direct Ownership Interest Nov 1, 2023 100%
Joshua Hammons Individual W-2 Managing EmployeeAd; Dec 31, 2025 50%
Amg 3.0, LLC Organization, Lafayette, LA LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2023 100%
Benjamin Miller Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2023 10%
Corporate OfficerChief Operating Officer Nov 1, 2023 50%
August J Rantz Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2023 40%
Corporate OfficerCeo Nov 22, 2021 100%

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1144983685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LA RUE FRANCE STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083138",
            "telephone_number": "337-269-9566",
            "fax_number": "337-269-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MEDICAL CENTER DR STE B",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386068608",
            "telephone_number": "662-703-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI LTAC HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-269-9566"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Mississippi Specialty Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.