Martha Coker Convalescent Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

152 Issued in MS

Legal business name

MARTHA COKER CONVALESCENT HOME INC

Practice address

401 E 9TH Street
Yazoo City, MS 39194

Phone

(662) 746-4621

Fax

(662) 746-4621

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Julie M Hoffman

Title

Administrator

Phone

(662) 746-4621

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1174716179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 9TH STREET",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-746-4621",
            "fax_number": "662-746-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 9TH STREET",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-746-4621",
            "fax_number": "662-746-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA COKER CONVALESCENT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-746-4621",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cannetter Love
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• Latoya Netters Lowe
• Magnolia Hospice of Mississippi
• Whitney Alise Mallett, PHARMD
• Martha Coker Home, Inc. (Martha Coker Home)
• Roberto Martinez, M.D.
• Antoinette Monique Mayers, D.C.
• Nuginder McCallister
• Makenzie McConnell

• Skilled Nursing Facility in Yazoo City, MS
• Providers in Yazoo City, 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 Aug 22, 2007; 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.