Nexion Health at Cleveland, Inc.
Organization Active NPI Skilled Nursing Facility · Cleveland, MS
NPI 1235622382 · NPPES record last updated Jun 13, 2018
Key facts
- NPI
- 1235622382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NEXION HEALTH AT CLEVELAND, INC.
- Practice address
- 200 N Martin Luther King Dr
Cleveland, MS 38732-2821 - Phone
- (662) 843-5347
- NPI assigned
- Jun 13, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- NEXION HEALTH, INC.
Authorized official
- Name
- Francis P Kirley
- Title
- President & Ceo
- Phone
- (410) 552-4800
Facilities with the same owner 32
Practitioners 1
-
Steven Glenn Clark, M.D
Affiliated clinicians 1
-
Steven Glenn Clark, M.D
Medicare Care Compare: Nursing home
- Listed as
- Delta Rehabilitation and Healthcare Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★☆☆ 3 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1996
- Medicare certification status
- Active
- Certified beds
- 75 · 66.8 residents per day on average
- Chain
- Nexion Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Skilled nursing facility certification: CCN 255228
- Legal name
- NEXION HEALTH AT CLEVELAND, INC.
- Doing business as
- DELTA REHABILITATION AND HEALTHCARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1996
- Last certification
- Nov 16, 2023
- Beds
- 75
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Nexion Health
- Organization structure
- Corporation · Proprietary
- Incorporated
- Mar 29, 2018 in DE
- Enrollment address
- 200 N Martin Luther King Dr
Cleveland, MS 38732-2821 - Nursing home name
- DELTA REHABILITATION AND HEALTHCARE CENTER
- Affiliated entity
- NEXION HEALTH
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Meera Riner |
Corporate Officer |
Mar 29, 2018 | |
| Corporate Director |
Mar 29, 2018 | ||
| Nexion Health of Ohi Inc |
5% Or Greater Direct Ownership Interest | Mar 29, 2018 | 100% |
| Wanda Matthews |
W-2 Managing Employee |
Jul 1, 2018 | 100% |
| Nexion Health Leasing, Inc. |
5% Or Greater Indirect Ownership Interest | Mar 29, 2018 | 100% |
| Francis Kirley |
5% Or Greater Indirect Ownership Interest | Mar 29, 2018 | 60.88% |
| Corporate Officer |
Mar 29, 2018 | ||
| Corporate Director |
Mar 29, 2018 | ||
| Brian Lee |
Corporate Officer |
Mar 29, 2018 | |
| Corporate Director |
Mar 29, 2018 | ||
| Bretton J Bolt |
5% Or Greater Indirect Ownership Interest | Mar 29, 2018 | 35.1% |
| Nexion Health, Inc. |
Operational/Managerial Control | Mar 29, 2018 | 100% |
| William Herdrich |
Corporate Director |
Mar 29, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180904000262 | MS | Part a Provider - Skilled Nursing Facility | 1557611100 | Practice locations: Cleveland, MS |
National Provider Directory
Locations
200 N Martin Luther King Dr
Cleveland, MS 38732
Phone (662) 843-5347
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
200 N Martin Luther King Dr
Cleveland, MS 38732-2821
Mailing address
6937 Warfield Ave
Sykesville, MD 21784-7454
Phone (410) 935-7799
Other names
- Delta Rehabilitation and Healthcare Center
Other providers in Cleveland, MS
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All providers in Cleveland, MS · Skilled Nursing Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.