Active NPI
Magnolia Healthcare, Inc.
Doing business as Riverview Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Greenwood, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 585
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220308 | Medicaid | MS |
Other names 1
- Riverview Nursing & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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).
-
dba Autumn Leaves Nursing Home
- Skilled Nursing Facility
- Greenville, MS
- NPI 1164510475
9638265531
-
dba Haven Hall Healthcare Center
- Skilled Nursing Facility
- Brookhaven, MS
- NPI 1437247780
9638265531
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Riverview Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Dec 1, 1995
- Medicare certification status
- Active
- Certified beds
- 91
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0689503 | Riverview Nursing & Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Arnold Avenue Nursing Home
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Autumn Leaves Nursing Home
- Skilled Nursing Facility
- Greenville, MS
- NPI 1164510475
-
dba Haven Hall Healthcare Center
- Skilled Nursing Facility
- Brookhaven, MS
- NPI 1437247780
-
- Skilled Nursing Facility
- Greenville, MS
- NPI 1609964220
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.
| Name | Role | Since | Share |
|---|---|---|---|
| James E Warrington | Adp of the SNF | May 20, 2025 | |
| Kimberly Lynn Joyce | Corporate Officer | Aug 2, 2021 | |
| Raquel Guise | Adp of the SNF | May 20, 2025 | |
| Lonnie L Peeler | Corporate Officer | Jun 1, 2014 | |
| Operational/Managerial Control | Jun 1, 2014 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Richard T Daspit | 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.
-
- Family Medicine Physician
- Cleveland, MS
- NPI 1912919234
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Brookhaven, MS
- NPI 1861474827
-
- General Practice Physician
- Jackson, MS
- NPI 1285746511
-
- Family Medicine Physician
- Cleveland, MS
- NPI 1912919234
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Cleveland, MS
- NPI 1912919234
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.