The Bluffs Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE BLUFFS REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

2850 Porters Chapel Rd
Vicksburg, MS 39180-1805

Phone

(601) 638-9211

Fax

(601) 636-4986

NPI assigned

Sep 28, 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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1902093396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 PORTERS CHAPEL RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391801805",
            "telephone_number": "601-638-9211",
            "fax_number": "601-636-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PORTERS CHAPEL RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391801805",
            "telephone_number": "601-638-9211",
            "fax_number": "601-636-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUFFS REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARK MISSISSIPPI HOLDING COMPANY, LLC",
        "enumeration_date": "2007-09-28",
        "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": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220282",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Vicksburg, MS
• Providers in Vicksburg, 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.