Aurora Australis, LLC
Organization Active NPI Skilled Nursing Facility · Columbus, MS
NPI 1811976368 · NPPES record last updated May 24, 2018
Key facts
- NPI
- 1811976368
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 282 (MS)
- Legal business name
- AURORA AUSTRALIS, LLC
- Practice address
- 310 Emerald Dr
Columbus, MS 39702 - Phone
- (662) 327-8021
- Fax
- (662) 327-8925
- NPI assigned
- Jan 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- VANGUARD HEALTHCARE, LLC
Authorized official
- Name
- Mr. William D. Orand
- Title
- Ceo
- Phone
- (615) 250-7100
Facilities with the same owner 4
Practitioners 1
-
Todd L Fulcher, MD
Medicare Care Compare: Nursing home
- Listed as
- Aurora Health and Rehabilitation
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★☆☆☆ 2 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Oct 1, 1995
- Medicare certification status
- Active
- Certified beds
- 120 · 86.4 residents per day on average
- Chain
- Vanguard Healthcare
- Penalties (3 years)
- 1 · fines totaling $13,520
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0671373 | Aurora Australis LLC | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Skilled nursing facility certification: CCN 255206
- Legal name
- AURORA AUSTRALIS, LLC
- Doing business as
- AURORA HEALTH AND REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 1, 1995
- Last certification
- Apr 4, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Multi-facility organization
- Vanguard Health Services
- Organization structure
- LLC · Proprietary
- Incorporated
- Jun 29, 2011 in TN
- Enrollment address
- 310 Emerald Dr
Columbus, MS 39702-5526 - Nursing home name
- AURORA HEALTH AND REHABILITATION
- Affiliated entity
- VANGUARD HEALTHCARE
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Iraj Alipour |
W-2 Managing Employee |
Sep 24, 2012 | |
| Jere Suzanne Ervin Irrv TR |
5% Or Greater Indirect Ownership Interest | Dec 19, 2007 | 16% |
| Vanguard Healthcare, LLC |
5% Or Greater Direct Ownership Interest | Dec 19, 2007 | 100% |
| John T Fick |
Corporate Officer |
Sep 20, 2014 | |
| Capital One NA |
5% Or Greater Mortgage Interest | Jan 31, 2018 | |
| 5% Or Greater Security Interest | Jan 31, 2018 | ||
| Orand LP |
5% Or Greater Indirect Ownership Interest | Dec 19, 2007 | 6% |
| Nicola Harrison |
Other |
Jan 31, 2018 | |
| Ervin General Partnership |
5% Or Greater Indirect Ownership Interest | Dec 19, 2007 | 40% |
| North Mississippi Management Associates, LLC |
Operational/Managerial Control | Dec 19, 2007 | 100% |
| William Jeffrey Ervin Irrv TR |
5% Or Greater Indirect Ownership Interest | Dec 19, 2007 | 16% |
| William D Orand |
5% Or Greater Indirect Ownership Interest | Dec 19, 2007 | 54% |
| Corporate Officer |
Dec 19, 2007 | ||
| Corporate Director |
Dec 19, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080211000587 | MS | Part a Provider - Skilled Nursing Facility | 8325121585 | Practice locations: Columbus, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 282 | MS | Yes |
Addresses
Primary practice location
310 Emerald Dr
Columbus, MS 39702
Mailing address
9020 Overlook Blvd Ste 202
Brentwood, TN 37027-2755
Phone (615) 250-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230089 | Medicaid | MS |
Other names
- Aurora Health and Rehabilitation
Other providers in Columbus, MS
- Janie E.H. Ashcraft Johnson
- Nancy Ashford
- John Bradley Atkins
- Melissa Monsour Atkins
- Paula Atkins
- Awakening Minds LLC
- Thomas Aycock
- Amina Azam
- Aynsley Elizabeth Bailey
- Francis Jewell Baird Jr.
All providers in Columbus, MS · Skilled Nursing Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.