Woodlands Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

499 Issued in MS

Legal business name

WOODLANDS REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

102 Woodchase Park Dr
Clinton, MS 39056-4113

Phone

(601) 924-7043

Fax

(601) 924-8633

NPI assigned

May 1, 2006

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

Mrs. Michelle D Meer

Title

Vice President & Secretary

Phone

(629) 626-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Jones Jr., M.D.

  • Family Medicine Physician
  • Clinton, MS
  • NPI 1245268937
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1467410449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODCHASE PARK DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564113",
            "telephone_number": "601-924-7043",
            "fax_number": "601-924-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WOODCHASE PARK DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564113",
            "telephone_number": "601-924-7043",
            "fax_number": "601-924-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-10-17",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220819",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelyn Freeman Wilson
• Nelson Wilson IV, CP
• Cindy Melinda Winningham
• John D Wise III
• Melissa E Wood, CFNP
• Rebecca A Wright, PT
• Allyson Young
• Kennedy Joy Zummallen

• Skilled Nursing Facility in Clinton, MS
• Providers in Clinton, 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 17, 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.