Organization Active NPI

Magnolia Healthcare, Inc.

Doing business as Riverview Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Greenwood, MS
National Provider Identifier
1265569875
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
585 Issued in MS
Legal business name
MAGNOLIA HEALTHCARE, INC.
Doing business as
Riverview Nursing & Rehabilitation Center
Practice address
1600 W Claiborne Ave
Greenwood, MS 38930-2753
Phone
(662) 453-8140
Fax
(662) 455-3973
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Mr. Richard Thomas Daspit Sr.
Title
Ceo
Phone
(225) 906-4644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 585 MS Primary

Addresses

Primary practice location

1600 W Claiborne Ave
Greenwood, MS 38930-2753

Mailing address

PO Box 40018
Baton Rouge, LA 70835-0018
Phone (225) 753-0864

Other identifiers 1

IdentifierTypeStateIssuer
220308MedicaidMS

Other names 1

  • Riverview Nursing & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071023000395 MS Part A Provider - Skilled Nursing Facility 9638265531 Practice locations: Greenwood, MS

Skilled nursing facility certification: CCN 255216

Legal name
MAGNOLIA HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1995
Last certification
Nov 6, 2024
Beds
91
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 1995 in MS
Enrollment address
1600W Claiborne Ave
Greenwood, MS 38930-2753
Nursing home name
RIVERVIEW NURSING & REHABILITATION CENTER

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Riverview Nursing & Rehabilitation CenterCCN 255216 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9173.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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
25D0689503Riverview Nursing & Rehabilitation Center1600 West Claiborne Extended, Greenwood, MS 38930Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Arnold Avenue Nursing Home4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 W Claiborne Ave
Greenwood, MS 38930
Phone (662) 453-8140

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James E Warrington Individual Adp of the SNF May 20, 2025
Kimberly Lynn Joyce Individual Corporate OfficerChief Financial Officer Aug 2, 2021
Raquel Guise Individual Adp of the SNF May 20, 2025
Lonnie L Peeler Individual Corporate OfficerChief Operating Officer Jun 1, 2014
Operational/Managerial Control Jun 1, 2014
Adp of the SNF Jun 1, 2014
Richard T Daspit Individual Corporate Director Dec 1, 1995

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1265569875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40018",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708350018",
            "telephone_number": "225-753-0864",
            "fax_number": "225-753-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CLAIBORNE AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302753",
            "telephone_number": "662-453-8140",
            "fax_number": "662-455-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "DASPIT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-906-4644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220308",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverview Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.