Organization Active NPI

Bedford Care Center of Mendenhall, LLC

  • Skilled Nursing Facility
  • Mendenhall, MS
National Provider Identifier
1497737571
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
600 Issued in MS
Legal business name
BEDFORD CARE CENTER OF MENDENHALL, LLC
Practice address
925 Mangum Ave
Mendenhall, MS 39114-3026
Phone
(601) 847-1311
Fax
(601) 847-0857
NPI assigned
Nov 15, 2005
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Mr. Stephen A. Worrel
Title
Controller
Phone
(601) 583-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 600 MS Primary

Addresses

Primary practice location

925 Mangum Ave
Mendenhall, MS 39114-3026

Mailing address

100 W Pine St
Hattiesburg, MS 39401-3467
Phone (601) 583-3232

Other identifiers 2

IdentifierTypeStateIssuer
000080357OtherMSBCBS PROVIDER NUMBER
00230157MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091222000469 MS Part A Provider - Skilled Nursing Facility 4789724709 Practice locations: Mendenhall, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497737571. Details of each certification follow.

Skilled nursing facility certification: CCN 255150

Legal name
BEDFORD CARE CENTER OF MENDENHALL LLC
Doing business as
THE NS GROUP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1992
Last certification
Feb 6, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
HMP Management
Organization structure
LLCProprietary
Incorporated
Oct 26, 2001 in MS
Enrollment address
925 Mangum Ave
Mendenhall, MS 39114-3026
Nursing home name
BEDFORD CARE CENTER OF MENDENHALL
Affiliated entity
BEDFORD CARE CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bedford Care Center of MendenhallCCN 255150 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6055.9 residents per day on average
Chain
Bedford Care Centers7 facilities in the chain
Penalties (3 years)
5Fines totaling $79,758

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0670169Bedford Care Center of Mendenhall925 W Mangum Ave, Mendenhall, MS 39114Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

100 W Pine St
Hattiesburg, MS 39401

925 Mangum Ave
Mendenhall, MS 39114
Phone (601) 847-1311

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Michael E. McElroy Family Trust Fbo Michael E. McElroy, Jr. Organization, Hattiesburg, MS 5% Or Greater Indirect Ownership Interest Apr 25, 2025 13%
Adp of the SNF Apr 2, 2025
Bedford Health Properties, LLC Organization, Hattiesburg, MS LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2001 100%
Hattiesburg Medical Park Management Corp. Organization, Hattiesburg, MS Corporation, Management services company, Chain home office Operational/Managerial Control Nov 1, 2001
Adp of the SNF Nov 1, 2001
Rhonda Gibson Individual Operational/Managerial Control Jul 29, 1996
Adp of the SNF Jul 29, 1996
Heather Gilbert Individual Operational/Managerial Control Dec 1, 2024
Adp of the SNF Dec 1, 2024
Jennifer L Ryals Individual Adp of the SNF May 4, 2006
Individual Adp of the SNF May 19, 2019
Charles Cooper Bevon Individual Operational/Managerial Control Jan 1, 2005
Adp of the SNF Jan 1, 2005
Jack Bevon Individual Corporate OfficerTreasurer Jan 21, 2021
Corporate Director Jan 21, 2021
Michael McElroy Individual 5% Or Greater Indirect Ownership InterestPresident Nov 1, 2001 24.5%
Corporate OfficerPresident Nov 1, 2001 24.5%
Corporate DirectorChairman Feb 15, 2022 24.5%
Operational/Managerial Control Feb 15, 2022
Janet F McElroy Family Trust Fbo Nicole McElroy Bevon Organization, Hattiesburg, MS 5% Or Greater Indirect Ownership Interest Jan 27, 2025 12.5%
Adp of the SNF Jan 1, 2025
Indirect Ownership Interest Jan 27, 2025 12.5%
Janet F. McElroy Family Trust Fbo Michael E. McElroy, Jr. Organization, Hattiesburg, MS 5% Or Greater Indirect Ownership Interest Jan 27, 2025 12.5%
Adp of the SNF Jan 27, 2025
Individual Adp of the SNF Aug 20, 2015
Tambara Robbins Individual Adp of the SNF May 4, 2006
Nicole Bevon Individual 5% Or Greater Indirect Ownership InterestVice President Nov 1, 2001 24.5%
Corporate Director Dec 1, 2001 24.5%
Richard D. Blackledge Individual Operational/Managerial Control May 4, 2016
Adp of the SNF May 9, 2016
Trustmark National Bank Organization, Jackson, MS Corporation, Financial institution 5% Or Greater Mortgage Interest Jan 26, 2015 25.46%
Michael E McElroy Family Trust Fbo Nicole McElroy Bevon Organization, Hattiesburg, MS 5% Or Greater Indirect Ownership Interest Jan 27, 2025 13%
Adp of the SNF Jan 27, 2025
Forvis Mazars LLP Organization, Springfield, MO Adp of the SNF Dec 31, 2016
Robert Martin Individual Operational/Managerial Control Jun 8, 2022
Adp of the SNF Jun 8, 2022
Organization, Hattiesburg, MS Corporation Adp of the SNF Nov 1, 2001
Organization, Ridgeland, MS LLC, Consulting firm Adp of the SNF May 21, 2025
Lisa Bean Individual Operational/Managerial Control Apr 28, 2008
Adp of the SNF Apr 28, 2008
Sonya McElroy Individual Corporate OfficerSecretary Jan 21, 2021

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1497737571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W PINE ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013467",
            "telephone_number": "601-583-3232",
            "fax_number": "601-582-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MANGUM AVE",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143026",
            "telephone_number": "601-847-1311",
            "fax_number": "601-847-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD CARE CENTER OF MENDENHALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "WORREL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "601-583-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000080357",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230157",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendenhall, MS

Sources for this page

Verify at the official NPI Registry.