Active NPI
Trend Health & Rehab of Meridian LLC
- Skilled Nursing Facility
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- TREND HEALTH & REHAB OF MERIDIAN LLC
- Practice address
- 517 33Rd St
Meridian, MS 39305-3944 - Phone
- (601) 499-0899
- Fax
- (601) 499-0897
- NPI assigned
- Jul 19, 2019
- 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. Charles Bruce Kelly
- Title
- Managing Member
- Phone
- (601) 499-0899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
517 33Rd St
Meridian, MS 39305-3944
Mailing address
125 Fountains Blvd
Madison, MS 39110-6344
Phone (601) 499-0899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191007000205 | MS | Part A Provider - Skilled Nursing Facility | 2668703695 | Practice locations: Meridian, MS |
Skilled nursing facility certification: CCN 255348
- Legal name
- TREND HEALTH & REHAB OF MERIDIAN LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 27, 2019
- Last certification
- Apr 11, 2024
- Beds
- 58
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jul 2, 2019 in MS
- Enrollment address
- 517 33Rd St
Meridian, MS 39305-3944 - Nursing home name
- TREND HEALTH & REHAB OF MERIDIAN LLC
- Affiliated entity
- TREND CONSULTANTS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Trend Health & Rehab of Meridian LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 27, 2019
- Medicare certification status
- Active
- Certified beds
- 58
- Chain
- Trend Consultants
- 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 |
|---|---|---|---|
| 25D0721591 | Trend Health & Rehab of Meridian | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Lori Warnock | Operational/Managerial Control | Jan 24, 2021 | |
| Adp of the SNF | Jan 27, 2021 | ||
| Charles B Kelly | 5% Or Greater Direct Ownership Interest | Sep 1, 2019 | 99% |
| Adp of the SNF | Sep 1, 2019 | ||
| Adp of the SNF | Feb 3, 2025 | ||
| Adp of the SNF | Feb 3, 2025 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1124097191
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": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1982257853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 FOUNTAINS BLVD",
"city": "MADISON",
"state": "MS",
"postal_code": "391106344",
"telephone_number": "601-499-0899",
"fax_number": "601-499-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 33RD ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393053944",
"telephone_number": "601-499-0899",
"fax_number": "601-499-0897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREND HEALTH & REHAB OF MERIDIAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "601-499-0899",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.