Organization Active NPI

Tunica Nursing Home

  • Nursing Facility/Intermediate Care Facility
  • Tunica, MS
National Provider Identifier
1265429971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
733 Issued in MS
Legal business name
TUNICA NURSING HOME
Practice address
1024 Highway 61 S
Tunica, MS 38676-9440
Phone
(662) 363-3164
Fax
(662) 363-4191
NPI assigned
Sep 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Barbara Dale Lenard
Title
Administraotr
Phone
(662) 363-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 733 MS Primary

Addresses

Primary practice location

1024 Highway 61 S
Tunica, MS 38676-9440

Mailing address

1024 Highway 61 S
Tunica, MS 38676-9440
Phone (662) 363-3164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265429971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY 61 S",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386769440",
            "telephone_number": "662-363-3164",
            "fax_number": "662-363-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 HIGHWAY 61 S",
            "city": "TUNICA",
            "state": "MS",
            "postal_code": "386769440",
            "telephone_number": "662-363-3164",
            "fax_number": "662-363-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUNICA NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENARD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRAOTR",
        "authorized_official_telephone_number": "662-363-3164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MS",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunica, 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.