Starkville Ms Opco LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

STARKVILLE MS OPCO LLC

Practice address

200 Womack St
Starkville, MS 39759-2232

Phone

(662) 323-9183

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Batya Gorelick

Title

Coo

Phone

(201) 928-7800

Specialties & licenses 1

Addresses

Practitioners 1

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

• Angela Inez Payne, M.D.

  • Family Medicine Physician
  • Starkville, MS
  • NPI 1740630821
  NPD (past)

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1154063626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 SYLVAN AVE",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076323301",
            "telephone_number": "201-928-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WOMACK ST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592232",
            "telephone_number": "662-323-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE MS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "GORELICK",
        "authorized_official_first_name": "BATYA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "201-928-7800"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starkville Eye Clinic
• Starkville Eye Clinic Inc
• Starkville Family Practice PA
• Starkville Internal Medicine Clinic
• Starkville Manor Healthcare LLC (Starkville Manor Health Care and Rehabilitation Center)
• Starkville Ms Operating LLC (Rolling Hills Developmental Center)
• Starkville Oktibbeha Consolidated School District
• Starkville Oktibbeha Consolidated School District
• Starkville Oktibbeha Consolidated School District (Starkville High School)
• Starkville Orthopedic Clinic, LLC

• Intellectual Disabilities Intermediate Care Facility in Starkville, MS
• Providers in Starkville, MS by specialty
• Intellectual Disabilities Intermediate Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.