Boa Vida Hospital of Aberdeen, Ms, LLC
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Aberdeen, MS
NPI 1982121067 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1982121067
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- BOA VIDA HOSPITAL OF ABERDEEN, MS, LLC
- Practice address
- 400 S Chestnut St
Aberdeen, MS 39730-3335 - Phone
- (219) 395-0667
- NPI assigned
- Aug 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Kirnjot Singh, MD
- Title
- President
- Phone
- (219) 228-4355
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 23
Affiliated clinicians 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 25Z302
- Legal name
- BOA VIDA HOSPITAL OF ABERDEEN MS LLC
- Doing business as
- MONROE REGIONAL HOSPITAL
- Organization structure
- LLC · Proprietary
- Enrollment address
- 400 S Chestnut St
Aberdeen, MS 39730-3335
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Boa Vida Hospital of Aberdeen Ms LLC |
5% Or Greater Direct Ownership Interest | Oct 1, 2017 | 100% |
| Operational/Managerial Control | Oct 1, 2017 | 100% | |
| Jennie Lankhorst |
W-2 Managing Employee |
Oct 1, 2025 | |
| Kirnjot Singh |
Corporate Officer |
Oct 1, 2017 | 100% |
| W-2 Managing Employee |
Oct 1, 2017 | 100% |
All facility ownership & control disclosures 23
| Facility | Type | Role | Since |
|---|---|---|---|
| Monroe Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| Monroe Regional Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group Jurney |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| MRH Medical Group Hamilton |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| MRH Medical Group, Columbus 5TH St. |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Primary Care and Women'S Wellness |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 2017 Oct 1, 2017 |
| MRH Medical Group, West Point |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2017 |
| MRH Medical Group, Corinth Alcorn Dr. |
Rural health clinic | 5% Or Greater Direct Ownership Interest | Oct 1, 2017 |
| MRH Medical Group, Nettleton |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Belmont |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group, GSV Houlka |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| Monroe Regional Hospital |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group East Main Family Medical |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group Premier Diabetes and Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Starkville |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group, Verona Family Medicine & Urgent Care |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group Potter Family Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2017 |
| MRH Medical Group Horn Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
| MRH Medical Group Rice Family Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (99%) | Oct 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220810000914 | MS | Part a Provider - Critical Access Hospital | 0244505840 | Practice locations: Aberdeen, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
400 S Chestnut St
Aberdeen, MS 39730-3335
Mailing address
10996 Four Seasons PL Ste 100C
Crown Point, IN 46307-7762
Phone (219) 228-1021
Other names
- Monroe Regional Hospital
Other providers in Aberdeen, MS
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Boa Vida Hospital of Aberdeen, Ms, LLC
- Deborah Boggan
- James Bosarge
- Clifton Currie Bounds
- Bonny Marie Bray
- Mark Fitzhugh Breland
All providers in Aberdeen, MS · Medicare Defined Swing Bed Hospital Unit in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.