JRSM Enterprises, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

461 Issued in MS

Legal business name

JRSM ENTERPRISES, INC

Doing business as

The Grove

Practice address

11 Pecan Dr
Columbia, MS 39429-2600

Phone

(601) 736-4747

Fax

(601) 736-4073

NPI assigned

Aug 30, 2006

Last updated

Jul 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bradshaw

Title

President

Phone

(601) 736-4747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Grove Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1669581898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PECAN DR",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292600",
            "telephone_number": "601-736-4747",
            "fax_number": "601-736-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PECAN DR",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394292600",
            "telephone_number": "601-736-4747",
            "fax_number": "601-736-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRSM ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-736-4747",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023026",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Columbia, MS
• Providers in Columbia, 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, 2012; 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.