NPIMap

Organization Active NPI

Hinds County Nursing &Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Jackson, MS
National Provider Identifier
1598749210
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
375 Issued in MS
Legal business name
HINDS COUNTY NURSING &REHABILITATION CENTER LLC
Practice address
3454 Albermarle Road
Jackson, MS 39213
Phone
(601) 362-5394
Fax
(601) 366-9276
NPI assigned
Dec 6, 2005
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 375 MS Primary

Addresses

Primary practice location

3454 Albermarle Road
Jackson, MS 39213

Mailing address

3454 Albermarle Road
Jackson, MS 39213
Phone (601) 362-5394

Other identifiers 1

IdentifierTypeStateIssuer
08400599MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000579 MS Part A Provider - Skilled Nursing Facility 1759352305 Practice locations: Byram, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598749210. Details of each certification follow.

Skilled nursing facility certification: CCN 255103

Legal name
HINDS COUNTY NURSING &REHABILITATION CENTER, LLC
Doing business as
EDGEWOOD HEALTH & REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1989
Last certification
Aug 1, 2024
Beds
119
Ownership / control type
Corporation
Multi-facility organization
Trend Consultants
Organization structure
LLCProprietary
Incorporated
Apr 1, 2003 in MS
Enrollment address
205 Byram Pkwy
Byram, MS 39272-9609
Nursing home name
EDGEWOOD HEALTH & REHABILITATION

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edgewood Health & RehabilitationCCN 255103 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
119108.6 residents per day on average
Special focus status
SFF Candidate
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
9Fines totaling $148,438

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Trend Consultants LLC Organization, Madison, MS Management services company Operational/Managerial Control Jul 1, 2013
Adp of the SNF May 15, 2025
Lori Warnock Individual Operational/Managerial Control Jan 27, 2021
Adp of the SNF Jan 27, 2021
Charles B Kelly Individual Corporate DirectorCeo Apr 1, 2003 100%
Adp of the SNF Apr 1, 2003
Individual Adp of the SNF Apr 1, 2003
Individual Adp of the SNF Nov 27, 1970
Rita a Kelly Individual Corporate OfficerBoard of Directors Apr 1, 2003 1%

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1598749210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 ALBERMARLE ROAD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-362-5394",
            "fax_number": "601-366-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 ALBERMARLE ROAD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39213",
            "telephone_number": "601-362-5394",
            "fax_number": "601-366-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINDS COUNTY NURSING &REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-02-03",
        "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": "375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08400599",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.