Columbia Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLUMBIA REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

1506 N Main St
Columbia, MS 39429-2070

Phone

(601) 736-9557

Fax

(601) 736-7523

NPI assigned

Nov 29, 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": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1487836656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N MAIN ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292070",
            "telephone_number": "601-736-9557",
            "fax_number": "601-736-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N MAIN ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292070",
            "telephone_number": "601-736-9557",
            "fax_number": "601-736-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2007-11-29",
        "last_updated": "2017-10-19",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230067",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Clement, D.M.D.
• Columbia Community Care Center LLC
• Columbia Discount Drugs, Inc
• Columbia Family Dental LLC
• Columbia Pediatris, P.C.
• Columbia Rehabilitation LLC
• Columbia School District
• Compassionate Heart Personal Care & Respite Services LLC
• Cook and Fortenberry Pharmacy
• Christen Coulter, SLP

• All providers in Columbia, MS
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.