Picayune Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

593 Issued in MS

Legal business name

PICAYUNE REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

1620 Read Rd
Picayune, MS 39466-2710

Phone

(601) 798-1811

Fax

(601) 798-2362

NPI assigned

Sep 28, 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 & Secretary

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1275720666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662710",
            "telephone_number": "601-798-1811",
            "fax_number": "601-798-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 READ RD",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662710",
            "telephone_number": "601-798-1811",
            "fax_number": "601-798-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICAYUNE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220283",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Picayune General Dentistry, Inc.
• Picayune Homecare, LLC
• Picayune Medical & Health Supplies Inc
• Picayune Medical & Health Supplies Inc
• Picayune Physical Therapy Center
• Picayune Rural Health Clinic
• Picayune School District
• Picayune School District Early Head Start
• Picayune Smiles, LLC
• Picayune Urgent Care Clinic, LLC

• Skilled Nursing Facility in Picayune, MS
• Providers in Picayune, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.