Belhaven Nursing Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

624 Issued in MS

Legal business name

BELHAVEN NURSING CENTER LLC

Practice address

1004 North St
Jackson, MS 39202-2433

Phone

(601) 355-0763

NPI assigned

Dec 6, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Tina L Ellis

Title

Comptroller

Phone

(601) 304-0980

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1538143250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 NORTH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022433",
            "telephone_number": "601-355-0763",
            "fax_number": "601-355-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NORTH ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022433",
            "telephone_number": "601-355-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELHAVEN NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "601-304-0980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230161",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beemon Drugs Inc
• Karen Begley, LPC
• Marshall Edward Belaga, M.D.
• Brittany Nicole Belesky
• Allie Grace Belew
• Belhaven Physical Therapy Clinic, LLC
• John D Belknap, MD
• Blanche Mae Bell, ARNP
• Debra E Bell, CRNP
• Eric Michael Bell, M.D.

• Skilled Nursing Facility in Jackson, MS
• Providers in Jackson, 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 Jul 27, 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.