Active NPI
Daniel Health Care, Inc.
- Skilled Nursing Facility
- Fulton, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 202
- Legal business name
- DANIEL HEALTH CARE, INC.
- Practice address
- 1905 S Adams St
Fulton, MS 38843-8738 - Phone
- (662) 862-2165
- Fax
- (662) 862-2167
- NPI assigned
- Jun 21, 2005
- Last updated
- Nov 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James C Holland
- Title
- Vice President
- Phone
- (662) 862-2165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 202 | MS | Primary |
Addresses
Primary practice location
1905 S Adams St
Fulton, MS 38843-8738
Mailing address
PO Box 127
Fulton, MS 38843-0127
Phone (662) 862-2165
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230144 | Medicaid | MS | |
| 000080404 | Other | MS | BLUE CROSS BLUE SHIELD MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070608000191 | MS | Part A Provider - Skilled Nursing Facility | 1759489156 | Practice locations: Fulton, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1952307316. Details of each certification follow.
Skilled nursing facility certification: CCN 255160
- Legal name
- DANIEL HEALTH CARE, INC.
- Doing business as
- THE MEADOWS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1993
- Last certification
- Nov 30, 2023
- Beds
- 130
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jan 1, 2000 in MS
- Enrollment address
- 1905 South Adams Street
Fulton, MS 38843-0127 - Nursing home name
- THE MEADOWS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Meadows
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 130
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0908980 | Meadows,the | Certificate of waiver | Nov 19, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Daniel Health Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Fulton, MS
- NPI 1881831584
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Eric Holland | 5% Or Greater Direct Ownership Interest | Jan 1, 2001 | 35.5% |
| Adp of the SNF | Jan 1, 2023 | ||
| James Holland | 5% Or Greater Direct Ownership Interest | Jan 1, 2001 | 29% |
| Adp of the SNF | Jan 1, 1974 | ||
| James Holland | 5% Or Greater Direct Ownership Interest | Jan 1, 2001 | 35.5% |
| Adp of the SNF | Jan 1, 2001 | ||
| Direct Ownership Interest | Jan 1, 2001 | 35.5% | |
| Jacquline Jones | Operational/Managerial Control | Jan 1, 2007 | |
| Adp of the SNF | Jan 1, 2015 | ||
| Stacy Seay | Operational/Managerial Control | Jan 1, 2007 | |
| Adp of the SNF | Jan 1, 2007 |
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Assisted Living Facility
- Fulton, MS
- NPI 1881831584
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Fulton, MS
- NPI 1265404214
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": "1119312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384732800000",
"number": "1952307316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "FULTON",
"state": "MS",
"postal_code": "388430127",
"telephone_number": "662-862-2165",
"fax_number": "662-862-2167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 S ADAMS ST",
"city": "FULTON",
"state": "MS",
"postal_code": "388438738",
"telephone_number": "662-862-2165",
"fax_number": "662-862-2167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-21",
"last_updated": "2013-11-18",
"status": "A",
"authorized_official_last_name": "HOLLAND",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "662-862-2165",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "202",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00230144",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MS",
"identifier": "000080404",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, MS
- CLC of Fulton, LLC (Courtyards Community Living Center)
- Tammy Marie Collier, M.S., CCC-SLP
- Complete Home Care Inc.
- Convenient Care of Fulton Inc
- Beth M Craft, PT
- Jason L Digby, DMD
- Discover Chiropractic PA
- Dogwood Plantation of Fulton
- Dr. Jerry McBride LLC
- Dutch Pharmacies Inc (Family Pharmacy of Fulton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.