Southern Health Corp of Houston Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SOUTHERN HEALTH CORP OF HOUSTON INC

Practice address

1000 East Madison
Houston, MS 38851

Phone

(662) 456-1101

Fax

(662) 456-1106

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sheila Brockman

Title

Ceo

Phone

(662) 456-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Floy Dyer Manor Doing business as

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1740385491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST MADISON",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "38851",
            "telephone_number": "662-456-1101",
            "fax_number": "662-456-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST MADISON",
            "city": "HOUSTON",
            "state": "MS",
            "postal_code": "38851",
            "telephone_number": "662-456-1101",
            "fax_number": "662-456-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HEALTH CORP OF HOUSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-456-3700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230058",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floy Dyer Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Floy Dyer Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rutherford Chiropractic Neurology Center, PLLC
• Joseph Lee Rutherford, DC
• Deborah Smith, PHARMD
• Southern Health Corp of Houston Inc
• Southern Health Corp of Houston Inc
• Southern Health Corp of Houston, Inc.
• Southern Health Corp. of Houston, Inc
• Southern Health Corp. of Houston, Inc
• Southern Health Corp. of Houston, Inc.
• Southern Health Corp. of Houston, Inc.

• All providers in Houston, MS
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.