Yazoo City Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

YAZOO CITY REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

925 Calhoun Ave
Yazoo City, MS 39194-3229

Phone

(662) 746-7770

Fax

(662) 746-4185

NPI assigned

Nov 29, 2007

Organization subpart

Yes

Parent organization

ARK MISSISSIPPI HOLDING COMPANY, LLCAs reported in NPPES

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

Authorized official

Name

Michelle D Meer

Title

Vice President & Secertary

Phone

(629) 626-0000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1265614440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CALHOUN AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943229",
            "telephone_number": "662-746-7770",
            "fax_number": "662-746-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CALHOUN AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943229",
            "telephone_number": "662-746-7770",
            "fax_number": "662-746-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZOO CITY REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2007-11-29",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECERTARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230074",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Deperro Winford, DMD
• Gretta Winters
• Eric Ryan Woods, DO
• Yazoo Ambulance Service, Inc.
• Yazoo City Medical Clinic PA
• Yazoo Drugs Inc
• Yazoo Emergency Group, LLC
• Yazoo Family Healthcare,LLC
• Yazoo Family Medicine PA
• Yazoo Federal Correctional Center

• All providers in Yazoo City, MS
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.