Pensacola Health Trust Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

456 Issued in MS

Legal business name

PENSACOLA HEALTH TRUST INC

Doing business as

Ocean Springs Nursing Home

Practice address

1199 Ocean Springs Rd
Ocean Springs, MS 39564-3421

Phone

(228) 875-9363

Fax

(228) 872-4500

NPI assigned

Aug 22, 2005

Last updated

Aug 22, 2020By 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

Scott J Bell

Title

Ceo President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ocean Springs Nursing Home Doing business as

Locations

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730171000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025631",
            "telephone_number": "850-430-0000",
            "fax_number": "850-436-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 OCEAN SPRINGS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643421",
            "telephone_number": "228-875-9363",
            "fax_number": "228-872-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA HEALTH TRUST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0230116",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Springs Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marva Payton, SLPD, CCC-SLP
• Ashley Pugeau Pearson, LCSW
• Nicholas L Pendleton, FNP
• Carter Brand Pennington, DPT
• Cameron Penny, NP
• Bethany Marie Perez, CSW
• Erin Petersen, MD
• Meghan Alyssa Pettis
• Mai Pham
• James Terence Phelan, DPM

• Skilled Nursing Facility in Ocean Springs, MS
• Providers in Ocean Springs, 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 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.