Organization Active NPI

Care Center of Laurel

  • Skilled Nursing Facility
  • Laurel, MS
National Provider Identifier
1265420152
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
564 Issued in MS
Legal business name
CARE CENTER OF LAUREL
Practice address
935 West Dr
Laurel, MS 39440-4703
Phone
(601) 649-8006
Fax
(601) 426-6366
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Hannah Rae Miller
Title
Administrator
Phone
(601) 649-8006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 564 MS Primary

Addresses

Primary practice location

935 West Dr
Laurel, MS 39440-4703

Mailing address

935 West Dr
Laurel, MS 39440-4703
Phone (601) 649-8006

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265420152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 WEST DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404703",
            "telephone_number": "601-649-8006",
            "fax_number": "601-426-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WEST DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404703",
            "telephone_number": "601-649-8006",
            "fax_number": "601-426-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CENTER OF LAUREL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-649-8006"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.