NPIMap

Organization Active NPI

Academy Health Center,Inc.

  • Skilled Nursing Facility
  • Lumberton, MS
National Provider Identifier
1811256977
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
351 Issued in MS
Legal business name
ACADEMY HEALTH CENTER,INC.
Practice address
6428 U S Highway 11
Lumberton, MS 39455-7524
Phone
(601) 794-8566
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Mr. Roger W Burke
Title
President Ahc, in
Phone
(601) 917-2697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 351 MS Primary

Addresses

Primary practice location

6428 U S Highway 11
Lumberton, MS 39455-7524

Mailing address

6428 US Highway 11
Lumberton, MS 39455-7524

Other names 1

  • Adventist Health Center,Inc. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1811256977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 US HIGHWAY 11",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394557524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 U S HIGHWAY 11",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "394557524",
            "telephone_number": "601-794-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY HEALTH CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT AHC, IN",
        "authorized_official_telephone_number": "601-917-2697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health Center,Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lumberton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.