Seashore Campgrounds Retirement Home Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

SEASHORE CAMPGROUNDS RETIREMENT HOME INC.

Practice address

12170 Highland Way
Gulfport, MS 39503-3666

Phone

(228) 831-7000

NPI assigned

Dec 27, 2024

Organization subpart

Yes

Parent organization

MISSISSIPPI METHODIST SENIOR SERVICES INC.As reported in NPPES

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

Authorized official

Name

Mr. Jim Zuelzke

Title

Vice President of Finance and Cfo

Phone

(662) 432-2915

Specialties & licenses 1

Addresses

Other names 1

• Seashore Highlands Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1720896459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388021567",
            "telephone_number": "662-844-8977",
            "fax_number": "662-690-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 HIGHLAND WAY",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033666",
            "telephone_number": "228-831-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASHORE CAMPGROUNDS RETIREMENT HOME INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSISSIPPI METHODIST SENIOR SERVICES INC.",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "ZUELZKE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE AND CFO",
        "authorized_official_telephone_number": "662-432-2915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seashore Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Scott White, ARNP
• Jaida Scott
• Jonette Scott, M.D.
• Zachary Harrison Scruggs, RN
• Raymond Monsour Scurfield, MSW, DSW
• Secure Home Health Care LLC
• Jay Thomas Segarra, M.D.
• Gerald W. Segraves, D.D.S.
• Aimee Seicshnaydre
• Michael A Seicshnaydre, M.D.

• Custodial Care Facility in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Custodial Care Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.