SCCR,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

312 Issued in MS

Legal business name

SCCR,LLC

Practice address

402 Getwell Dr
Senatobia, MS 38668-2212

Phone

(662) 562-5664

Fax

(662) 562-0054

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Donald Ray Blunt

Title

Administrator

Phone

(662) 562-6554

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Senatobia Convalescent Center & Rehab Other name
• SENATOBIA HEALTHCARE & REHAB Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Skilled nursing facility certification: CCN 255302

Legal name

SCCR,LLC

Doing business as

SENATOBIA HEALTHCARE & REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 28, 2003

Last certification

Mar 28, 2024

Beds

106

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 9, 2007 in MS

Enrollment address

402 Getwell Drive
Senatobia Convalescent Center & Rehab
Senatobia, MS 38668-2212

Nursing home name

SENATOBIA HEALTHCARE & REHAB

Listed as

Senatobia Healthcare & RehabCCN 255302

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

3 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 28, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10696.5 residents per day on average

Penalties (3 years)

1Fines totaling $8,021

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Practitioners 2

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

• Audra Blye Lewis, NP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1063882280
  NPD (past)
• Dana Ann Nash, M.D.

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1346291432
  NPD (past)

Affiliated clinicians 1

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

• Dana Ann Nash, M.D.

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1346291432

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1467501775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GETWELL DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682212",
            "telephone_number": "662-562-5664",
            "fax_number": "662-562-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GETWELL DR",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682212",
            "telephone_number": "662-562-5664",
            "fax_number": "662-562-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCR,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BLUNT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-562-6554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440216",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENATOBIA CONVALESCENT CENTER & REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SENATOBIA HEALTHCARE & REHAB",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senatobia Convalescent Center & Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyssa Reid, PHARMD
• Bryan Leighton Rhoads
• Roise at Heart Homecare LLC
• Forster Gehring Ruhl Jr., MD
• Sawyer Scott Eyecare Center PLLC
• Samuel Sawyer Scott, OD
• Senatobia City Drug
• Senatobia City Drug Co Inc
• Senatobia Dental Care, P.C.
• Senatobia Dental Studio PLLC

• Skilled Nursing Facility in Senatobia, MS
• Providers in Senatobia, 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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.