Washington Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

989 Issued in MS

Legal business name

WASHINGTON CARE CENTER, LLC

Practice address

1620 Lisa Drive
Greenville, MS 38703

Phone

(662) 335-2897

Fax

(662) 335-2130

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Randy Belton

Title

Authorized Representative

Phone

(601) 709-1408

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Washington Care Center Doing business as

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1497703755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 LISA DRIVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-335-2897",
            "fax_number": "662-335-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LISA DRIVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38703",
            "telephone_number": "662-335-2897",
            "fax_number": "662-335-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "601-709-1408",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80454",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04003561",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Walker, CFNP
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• Warren-Washington-Issaquena-Sharkey Community Action Agency
• Warren-Washington-Issaquena-Sharkey-Community Action Agency
• Washington County LTC, Inc.
• Linda Washington, PHD
• Nicole Watkins
• Watson Transportation Com LLC
• We Care Adult Day Center

• Skilled Nursing Facility in Greenville, MS
• Providers in Greenville, 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 Aug 31, 2007; 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.