Organization Active NPI

Noxubee County Nursing Home

  • Skilled Nursing Facility
  • Macon, MS
National Provider Identifier
1699764159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
682 Issued in MS
Legal business name
NOXUBEE COUNTY NURSING HOME
Practice address
606 North Jefferson
Macon, MS 39341-0480
Phone
(662) 726-2097
Fax
(662) 726-9588
NPI assigned
Oct 18, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Danny Hogt McKay, MBA NHA
Title
Administrator
Phone
(662) 726-4231

Practitioners 2

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

National Provider Directory

National Provider Directory
Tax ID family
Noxubee County Nursing Home7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 682 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

606 North Jefferson
Macon, MS 39341-0480

Mailing address

PO Box 480
Macon, MS 39341-0480
Phone (662) 726-2097

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00023183MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699764159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393410480",
            "telephone_number": "662-726-2097",
            "fax_number": "662-726-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 NORTH JEFFERSON",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393410480",
            "telephone_number": "662-726-2097",
            "fax_number": "662-726-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOXUBEE COUNTY NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "HOGT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-726-4231",
        "authorized_official_credential": "MBA NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00023183",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.