NPIMap

Organization Active NPI

South Central Regional Medical Center

Doing business as Jones County Rest Home

  • Skilled Nursing Facility
  • Ellisville, MS
National Provider Identifier
1437199213
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
160 Issued in MS
Legal business name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Doing business as
Jones County Rest Home
Practice address
683 County Home Rd
Ellisville, MS 39437-8455
Phone
(601) 477-3334
Fax
(601) 477-2323
NPI assigned
Jun 8, 2006
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Stephen H East
Title
Cfo
Phone
(601) 399-6144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 160 MS Primary

Addresses

Primary practice location

683 County Home Rd
Ellisville, MS 39437-8455

Mailing address

683 County Home Rd
Ellisville, MS 39437-8455
Phone (601) 477-3334

Other identifiers 1

IdentifierTypeStateIssuer
230162MedicaidMS

Other names 1

  • Jones County Rest Home Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102001319 MS Part A Provider - Skilled Nursing Facility 8325946411 Practice locations: Ellisville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437199213. Details of each certification follow.

Skilled nursing facility certification: CCN 255336

Legal name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Doing business as
JONES COUNTY REST HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 13, 2012
Last certification
Mar 20, 2025
Beds
122
Ownership / control type
City/County
Organization structure
OtherNon-profit
Enrollment address
683 County Home Rd
Jones County Rest Home
Ellisville, MS 39437-8455
Nursing home name
JONES CO REST HOME

Other NPIs with the same Medicare PAC ID 8

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jones Co Rest HomeCCN 255336 · 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
Government - City/county
Certified
Sep 13, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122116.9 residents per day on average
Penalties (3 years)
3Fines totaling $25,953

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
25D0651933Jones County Rest Home683 County Home Road, Ellisville, MS 39437Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
South Central Reg Med C27 organizations share this tax ID, including this one
Part of
South Central Reg Med C

Other organizations with this tax ID 26

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

View all 26

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Locations

683 County Home Rd
Ellisville, MS 39437
Phone (601) 477-3334

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Lane Staines Individual Corporate DirectorGeneral Counsel Aug 21, 2024 75%
Adp of the SNF Aug 21, 2024
Mark W Norton Individual Adp of the SNF May 16, 2025
Elsa Brewer Individual Trustee of the SNF Jul 19, 2021
Judith Hicks Individual Operational/Managerial Control Jan 1, 2006
Adp of the SNF Jan 1, 2006
Stephanie Dyess Individual Operational/Managerial Control Oct 14, 2024
Adp of the SNF Oct 14, 2024
Victor Jones Individual Trustee of the SNF Oct 19, 2020
Brittany Amanda Hasbargen Individual Operational/Managerial Control Jul 1, 2014
Adp of the SNF Jul 1, 2014
Jack Scoggin Individual Trustee of the SNF Jul 15, 2019
Stephen East Individual Corporate OfficerCfo Jun 16, 2025 85%
Adp of the SNF Jun 16, 2025
Lewis Goins Individual Trustee of the SNF Jun 17, 2024
Arthur Siggers Individual Trustee of the SNF Oct 15, 2020
Michael Lowe Individual Trustee of the SNF Sep 19, 2022
South Central Regional Medical Center Organization, Laurel, MS Non-profit Operational/Managerial Control Apr 10, 2010 100%
Tobie a Williams Individual Adp of the SNF Oct 1, 2024
Gregg Gibbes Individual Corporate OfficerCeo Jul 1, 2023 95%
Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
George Walters Individual Trustee of the SNF Aug 22, 2023

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 8

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

FacilityTypeRoleSince
Comfort Care Nursing CenterLaurel, MS, CCN 255352 Skilled nursing facility Operational/Managerial Control (100%) Aug 1, 1994
Comfort Care Home HealthLaurel, MS, CCN 257099 Home health agency Operational/Managerial Control (100%) Jul 1, 1991
Comfort Care HospiceLaurel, MS, CCN 251512 Hospice Operational/Managerial Control (100%) Jul 18, 1992
South Central Family Medicine & Urgent CareLaurel, MS, CCN 258581 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
South Central PediatricsLaurel, MS, CCN 258510 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
Ellisville Pediatric ClinicEllisville, MS, CCN 253437 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 14, 2012
South Central Primary Care ServicesLaurel, MS, CCN 258649 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2020
South Central Urgent CareLaurel, MS, CCN 258688 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Jan 1, 2020
Jul 1, 2025

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1437199213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 COUNTY HOME RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394378455",
            "telephone_number": "601-477-3334",
            "fax_number": "601-477-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 COUNTY HOME RD",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394378455",
            "telephone_number": "601-477-3334",
            "fax_number": "601-477-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-399-6144"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230162",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones County Rest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellisville, MS

Sources for this page

Verify at the official NPI Registry.