Delta Rehabilitation and Healthcare Center of Cleveland, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

DELTA REHABILITATION AND HEALTHCARE CENTER OF CLEVELAND, LLC

Practice address

200 N Martin Luther King Dr
Cleveland, MS 38732-2821

Phone

(662) 843-5347

Fax

(662) 843-0751

NPI assigned

Nov 29, 2007

Last updated

Oct 19, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

ARK MISSISSIPPI HOLDING COMPANY, LLCAs reported in NPPES

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 & Secretary

Phone

(629) 626-0000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1861674038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MARTIN LUTHER KING DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322821",
            "telephone_number": "662-843-5347",
            "fax_number": "662-843-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MARTIN LUTHER KING DR",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322821",
            "telephone_number": "662-843-5347",
            "fax_number": "662-843-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA REHABILITATION AND HEALTHCARE CENTER OF CLEVELAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2007-11-29",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "MEER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "629-626-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230065",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.