Organization Active NPI

St.Oaks Care Center LLC

Doing business as St. Oaks Care Center

  • Assisted Living Facility
  • Carriere, MS
National Provider Identifier
1245820554
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ST.OAKS CARE CENTER LLC
Doing business as
St. Oaks Care Center
Practice address
83 White Chapel Rd
Carriere, MS 39426-7473
Phone
(601) 365-1438
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

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

Specialties & licenses 3

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

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 1

  • St. Oaks Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2230717St Oaks Care Center83 White Chapel Rd, Carriere, MS 39426Certificate of waiverJul 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1245820554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WHITE CHAPEL RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267473",
            "telephone_number": "601-365-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WHITE CHAPEL RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267473",
            "telephone_number": "601-365-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.OAKS CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-365-1438",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carriere, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.