McComb Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

556 Issued in MS

Legal business name

MCCOMB HEALTHCARE LLC

Doing business as

Courtyard Rehabilitation and Healthcare

Practice address

501 S Locust St
McComb, MS 39648-4336

Phone

(601) 684-8111

Fax

(601) 684-2881

NPI assigned

Jun 2, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Lehner

Title

Manager

Phone

(770) 698-9040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Courtyard Rehabilitation and Healthcare Doing business as

Electronic endpoints 1

Practitioners 1

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.

• Lucius M. Lampton, M.D.

  • Family Medicine Physician
  • Magnolia, MS
  • NPI 1689781007
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1194762526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LOCUST ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484336",
            "telephone_number": "601-684-8111",
            "fax_number": "601-684-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LOCUST ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484336",
            "telephone_number": "601-684-8111",
            "fax_number": "601-684-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMB HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "LEHNER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-698-9040"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220163",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Courtyard Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Courtyard Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina M McClendon
• Daniel Marshall McClung Jr., MD
• McComb Anesthesia Associates, LLP
• McComb Children's Clinic, LTD
• McComb Emergency Group LLC
• McComb Neurology, PA
• McComb Og-GYN Associated
• McComb Public School District
• McComb Public School District
• McComb Public School District

• Skilled Nursing Facility in McComb, MS
• Providers in McComb, 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 Sep 13, 2024; 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.