Active NPI
Great Oaks Rehabilitation and Healthcare Center, LLC
- Skilled Nursing Facility
- Byhalia, MS
National Provider Identifier
1760434724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 984
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79709 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.