NPIMap

Organization Active NPI

George Regional Health and Rehab Center

  • Skilled Nursing Facility
  • Lucedale, MS
National Provider Identifier
1790082188
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GEORGE REGIONAL HEALTH AND REHAB CENTER
Practice address
859 Winter St
Lucedale, MS 39452-6603
Phone
(601) 947-3161
Fax
(601) 947-9206
NPI assigned
Feb 21, 2011
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Paul Gardner
Title
Administrator
Phone
(601) 947-3161

Specialties & licenses 1

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

Addresses

Primary practice location

859 Winter St
Lucedale, MS 39452-6603

Mailing address

859 Winter St
Lucedale, MS 39452-6603
Phone (601) 947-3161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000374 MS Part A Provider - Skilled Nursing Facility 1254516628 Practice locations: Lucedale, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790082188. Details of each certification follow.

Skilled nursing facility certification: CCN 255333

Legal name
GEORGE REGIONAL HEALTH AND REHAB CENTER
Doing business as
GEORGE REGIONAL HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 21, 2011
Last certification
May 1, 2025
Beds
59
Ownership / control type
County
Organization structure
OtherNon-profit
Incorporated
Feb 18, 2011 in MS
Enrollment address
859 Winter St
Lucedale, MS 39452-6603
Nursing home name
GEORGE REGIONAL HEALTH & REHAB CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
George Regional Health & Rehab CenterCCN 255333 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Oct 21, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5937.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2024163George Regional Health and Rehab Center859 Winter Street, Lucedale, MS 39452Certificate of waiverMay 10, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
George County Hospital Organization, Lucedale, MS Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2011 100%
Rebecca H Shelton Individual Other Jan 1, 2016
Long Term Care Management LLC Organization, Jackson, MS LLC Operational/Managerial Control Apr 1, 2011 100%
Adp of the SNF Jan 23, 2025
Greg Havard Individual Other Jan 11, 2015
Angie Mason Individual W-2 Managing EmployeeAdministrator May 22, 2019 85%
Adp of the SNF Jan 23, 2025
Christopher E Lansdown Individual Contracted Managing EmployeeMD; Jan 1, 2016
Adp of the SNF Jan 23, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1790082188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526603",
            "telephone_number": "601-947-3161",
            "fax_number": "601-947-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394526603",
            "telephone_number": "601-947-3161",
            "fax_number": "601-947-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE REGIONAL HEALTH AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-947-3161"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lucedale, MS

Sources for this page

Verify at the official NPI Registry.