Organization Active NPI

Great Oaks Rehabilitation and Healthcare Center, LLC

  • Skilled Nursing Facility
  • Byhalia, MS
National Provider Identifier
1760434724
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
984 Issued in MS
Legal business name
GREAT OAKS REHABILITATION AND HEALTHCARE CENTER, LLC
Practice address
111 Chase St
Byhalia, MS 38611-7395
Phone
(662) 838-3670
Fax
(662) 838-3740
NPI assigned
May 17, 2006
Organization subpart
Yes
Parent organization
ARK MISSISSIPPI HOLDING COMPANY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Michelle D Meer
Title
Vice President and Secretary
Phone
(629) 262-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 984 MS Primary

Addresses

Primary practice location

111 Chase St
Byhalia, MS 38611-7395

Mailing address

111 Chase St
Byhalia, MS 38611-7395
Phone (662) 838-3670

Other identifiers 1

IdentifierTypeStateIssuer
79709MedicaidMS

National Provider Directory

National Provider Directory

Locations

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1760434724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117395",
            "telephone_number": "662-838-3670",
            "fax_number": "662-838-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHASE ST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386117395",
            "telephone_number": "662-838-3670",
            "fax_number": "662-838-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT OAKS REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "629-262-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79709",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byhalia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.