Organization Active NPI

Vanguard of Ripley, LLC

  • Skilled Nursing Facility
  • Ripley, MS
National Provider Identifier
1922087352
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
337 Issued in MS
Legal business name
VANGUARD OF RIPLEY, LLC
Practice address
103 Cunningham Dr
Ripley, MS 38663
Phone
(662) 837-3062
Fax
(662) 837-1395
NPI assigned
Jan 13, 2006
Organization subpart
Yes
Parent organization
VANGUARD HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Mr. William D. Orand
Title
Ceo
Phone
(615) 250-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 337 MS Primary

Addresses

Primary practice location

103 Cunningham Dr
Ripley, MS 38663

Mailing address

9020 Overlook Blvd Ste 202
Brentwood, TN 37027-2755
Phone (615) 250-7100

Other identifiers 1

IdentifierTypeStateIssuer
00230095MedicaidMS

Other names 1

  • Rest Haven Health and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000441 MS Part A Provider - Skilled Nursing Facility 1658454905 Practice locations: Ripley, MS

Skilled nursing facility certification: CCN 255247

Legal name
VANGUARD OF RIPLEY, LLC
Doing business as
RESTHAVEN HEALTH AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1997
Last certification
Apr 25, 2024
Beds
60
Ownership / control type
Corporation
Multi-facility organization
Vanguard Healthcare
Organization structure
LLCProprietary
Incorporated
Nov 20, 1998 in TN
Enrollment address
103 Cunningham Dr
Resthaven Health & Rehabilitation
Ripley, MS 38663-1302
Nursing home name
REST HAVEN HEALTH AND REHABILITATION
Affiliated entity
VANGUARD HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rest Haven Health and RehabilitationCCN 255247
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6049.2 residents per day on average
Chain
Vanguard Healthcare6 facilities in the chain

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
25D0316564Vanguard of Ripley LLC103 Cunningham Dr, Ripley, MS 38663Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jere Suzanne Ervin Irrv TR Organization, Brentwood, TN 5% Or Greater Indirect Ownership Interest Dec 19, 2007 16%
Vanguard Healthcare, LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 19, 2007 100%
John T Fick Individual Corporate OfficerCfo Sep 20, 2014
Capital One NA Organization, Chicago, IL Financial institution 5% Or Greater Mortgage Interest Jan 31, 2018 100%
Orand LP Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2007 6%
Nicola Harrison Individual OtherAccounting Manager Jan 31, 2018
Alexander Wright Individual W-2 Managing EmployeeAdministrator Feb 23, 2015
Ervin General Partnership Organization, Nashville, TN For-profit 5% Or Greater Indirect Ownership Interest Dec 19, 2007 40%
North Mississippi Management Associates, LLC Organization, Brentwood, TN LLC, Management services company, For-profit Operational/Managerial Control Dec 19, 2007 100%
William Jeffrey Ervin Irrv TR Organization, Brentwood, TN 5% Or Greater Indirect Ownership Interest Dec 19, 2007 16%
William D Orand Individual 5% Or Greater Indirect Ownership Interest Dec 19, 2007 54%
Corporate OfficerCeo Dec 19, 2007
Corporate DirectorDirector Dec 19, 2007

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1922087352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 OVERLOOK BLVD STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272755",
            "telephone_number": "615-250-7100",
            "fax_number": "615-250-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CUNNINGHAM DR",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "38663",
            "telephone_number": "662-837-3062",
            "fax_number": "662-837-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD OF RIPLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANGUARD HEALTHCARE, LLC",
        "enumeration_date": "2006-01-13",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "ORAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-250-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230095",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rest Haven Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rest Haven Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.