NPIMap

Organization Active NPI

Boa Vida Hospital of Aberdeen, Ms, LLC

  • Critical Access Hospital
  • Aberdeen, MS
National Provider Identifier
1285164046
Registry record updated Jun 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC
Practice address
400 S Chestnut St
Aberdeen, MS 39730-3335
Phone
(888) 339-7339
NPI assigned
Jun 14, 2017
Last updated
Jun 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2017

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

Authorized official

Name
Dr. Kirnjot Singh, MD
Title
President
Phone
(219) 395-0667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

400 S Chestnut St
Aberdeen, MS 39730-3335

Mailing address

10996 Four Seasons PL Ste 100a
Crown Point, IN 46307-8685

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171220002880 MS Part A Provider - Critical Access Hospital 0244505840 Receives reassigned benefits from 108 practitioners
Practice locations: Aberdeen, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285164046. Details of each certification follow.

Hospital certification: CCN 251302

Legal name
BOA VIDA HOSPITAL OF ABERDEEN MS LLC
Doing business as
MONROE REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2001
Last certification
Jun 20, 2007
Beds
33
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2017 (1 total)
Organization structure
LLCProprietary
Enrollment address
400 S Chestnut St
Aberdeen, MS 39730-3335
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

View all 22

Care Compare: Hospital

Medicare Care Compare
Listed as
Monroe Regional HospitalCCN 251302 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Boa Vida Hospital of Aberdeen Ms LLC Organization, Aberdeen, MS Created for acquisition, LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2017 100%
Operational/Managerial Control Oct 1, 2017 100%
Dana Strong Individual Corporate DirectorDirector of Revenue Cycle May 1, 2018 1%
Jennie Lankhorst Individual W-2 Managing EmployeeDirector, Payor Contracting & Crede Oct 1, 2025
Kirnjot Singh Individual Contracted Managing EmployeePresident Oct 1, 2017
Corporate OfficerPresident Oct 1, 2017

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Monroe Regional HospitalAberdeen, MS, CCN 25Z302 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2017
Oct 1, 2017
Monroe Regional HospitalAberdeen, MS, CCN 25M302 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
MRH Medical Group JurneyAberdeen, MS, CCN 258537 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Monroe Regional HospitalAberdeen, MS, CCN 258975 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
MRH Medical GroupAberdeen, MS, CCN 258515 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2017
Oct 1, 2017
MRH Medical Group HamiltonHamilton, MS, CCN 258521 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2017
Oct 1, 2017
MRH Medical Group, Columbus 5TH St.Columbus, MS, CCN 258635 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
Monroe Regional HospitalSherman, MS, CCN 258647 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
Monroe Regional HospitalAmory, MS, CCN 258634 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group, Primary Care and Women's WellnessColumbus, MS, CCN 258633 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 2017
Oct 1, 2017
MRH Medical Group, West PointWest Point, MS, CCN 258638 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2017
MRH Medical Group, Corinth Alcorn Dr.Corinth, MS, CCN 258639 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 1, 2017
MRH Medical Group, NettletonNettleton, MS, CCN 258636 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group, BelmontBelmont, MS, CCN 258637 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
MRH Medical Group, GSV HoulkaNew Houlka, MS, CCN 258646 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
Monroe Regional HospitalPontotoc, MS, CCN 258657 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group East Main Family MedicalTupelo, MS, CCN 258658 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group Premier Diabetes and Medical ClinicBelden, MS, CCN 258656 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group, StarkvilleStarkville, MS, CCN 258666 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group, Verona Family Medicine & Urgent CareTupelo, MS, CCN 258659 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group Potter Family ClinicGreenville, MS, CCN 258668 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
MRH Medical Group Horn Medical ClinicHouston, MS, CCN 258667 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017
MRH Medical Group Rice Family Medical ClinicCalhoun City, MS, CCN 258669 Rural health clinic 5% Or Greater Direct Ownership Interest (99%) Oct 1, 2017

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Practitioners 109

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 109

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1285164046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10996 FOUR SEASONS PL STE 100A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303335",
            "telephone_number": "888-339-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIRNJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-395-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MS

Sources for this page

Verify at the official NPI Registry.