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St.Oaks Care Center LLC

Organization Active NPI Assisted Living Facility · Carriere, MS

NPI 1245820554 · NPPES record last updated Jan 20, 2021

Key facts

NPI
1245820554
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
ST.OAKS CARE CENTER LLC
Practice address
83 White Chapel Rd
Carriere, MS 39426-7473
Phone
(601) 365-1438
NPI assigned
Jan 20, 2021
Organization subpart
No

Authorized official

Name
Richard C Heck Jr.
Title
Owner
Phone
(601) 365-1438

Practitioners 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2230717St Oaks Care Center
83 White Chapel Rd, Carriere, MS 39426		Certificate of waiverJul 26, 2027

National Provider Directory

Locations

83 White Chapel Rd
Carriere, MS 39426
Phone (225) 907-4117

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

83 White Chapel Rd
Carriere, MS 39426-7473

Mailing address

83 White Chapel Rd
Carriere, MS 39426-7473
Phone (601) 365-1438

Other names

  • St. Oaks Care Center Doing business as

Other providers in Carriere, MS

All providers in Carriere, MS · Assisted Living Facility in Mississippi

Sources for this page

Verify at the official NPI Registry.