Desoto Healthcare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

771 Issued in MS

Legal business name

DESOTO HEALTHCARE INC

Practice address

7805 Southcrest Pkwy
Southaven, MS 38671-4741

Phone

(662) 349-7500

Fax

(662) 349-2069

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Brent Tice

Title

Vice President

Phone

(601) 928-5890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DESOTO HEALTHCARE CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Skilled nursing facility certification: CCN 255296

Legal name

DESOTO HEALTHCARE INC

Doing business as

DESOTO HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Feb 6, 2003

Last certification

Jul 18, 2024

Beds

120

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 17, 2002 in MS

Enrollment address

7805 Southcrest Pkwy
Southaven, MS 38671-4741

Nursing home name

DESOTO HEALTHCARE CENTER

Affiliated entity

ADVANCED HEALTH CARE MANAGEMENT

Listed as

Desoto Healthcare CenterCCN 255296

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Feb 6, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12095.8 residents per day on average

Chain

Advanced Health Care Management6 facilities in the chain

Penalties (3 years)

1Fines totaling $9,318

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 5

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

Practitioners 1

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

• 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": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1497736813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 HALL ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772108",
            "telephone_number": "601-928-5890",
            "fax_number": "601-928-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714741",
            "telephone_number": "662-349-7500",
            "fax_number": "662-349-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-928-5890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230185",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESOTO HEALTHCARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Desoto Family Counseling Center, PLLC
• Desoto Family Medical Center
• Desoto Family Vision PLLC
• Desoto Family Wellness Center, LLC
• Desoto Familycounseling Center
• Desoto Heart Clinic, PC
• Desoto Osteopathic
• Desoto Surgery Clinic LLC
• Desoto Therapy, Inc.
• Desoto Thyroid and Endocrinology

• Skilled Nursing Facility in Southaven, MS
• Providers in Southaven, 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 Jan 15, 2010; 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.