Newton County LTC LLC
Organization Active NPI Skilled Nursing Facility · Union, MS
NPI 1982846192 · NPPES record last updated Apr 2, 2009
Key facts
- NPI
- 1982846192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- NEWTON COUNTY LTC LLC
- Practice address
- 25112 Highway 15
Union, MS 39365-8580 - Phone
- (601) 774-5065
- Fax
- (601) 774-5535
- NPI assigned
- Apr 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Steven L Delaney
- Title
- Member
- Phone
- (601) 956-8276
Owners & managing parties with NPI records 1
-
Russell E. Belenchia, D.O.
Practitioners 1
-
Russell E. Belenchia, D.O.
Affiliated clinicians 1
-
Russell E. Belenchia, D.O.
Medicare Care Compare: Nursing home
- Listed as
- J G Alexander Nursing Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★★★★★ 5 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Mar 20, 2006
- Medicare certification status
- Active
- Certified beds
- 60 · 56.3 residents per day on average
- Chain
- The Beebe Family
- Penalties (3 years)
- 2 · fines totaling $10,868
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Skilled nursing facility certification: CCN 255318
- Legal name
- NEWTON COUNTY LTC LLC
- Doing business as
- J.G. ALEXANDER NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 20, 2006
- Last certification
- Jan 30, 2025
- Beds
- 60
- Ownership / control type
- Individual
- Organization structure
- LLC · Proprietary
- Incorporated
- Mar 10, 2008 in MS
- Enrollment address
- 25112 Highway 15
J.G. Alexander Nursing Center
Union, MS 39365-8580 - Nursing home name
- J G ALEXANDER NURSING CENTER
- Affiliated entity
- THE BEEBE FAMILY
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Rebecca H Shelton |
Corporate Officer |
May 1, 2014 | |
| Stephen Pace |
Operational/Managerial Control | Nov 1, 2009 | |
| Adp of the SNF | May 1, 2009 | ||
| Russell E Belenchia |
Adp of the SNF | May 1, 2009 | |
| Steven L Delaney |
5% Or Greater Direct Ownership Interest | May 1, 2009 | 50% |
| Corporate Director | May 1, 2009 | 50% | |
| Tonya Eubanks |
Operational/Managerial Control | May 1, 2009 | |
| Adp of the SNF | May 1, 2009 | ||
| Garry H Pace |
5% Or Greater Direct Ownership Interest | May 1, 2009 | 50% |
| Corporate Director | May 1, 2009 | 50% | |
| Adp of the SNF | May 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090422000650 | MS | Part a Provider - Skilled Nursing Facility | 5395893788 | Practice locations: Union, MS |
National Provider Directory
Locations
25112 Highway 15
Union, MS 39365
Phone (601) 744-5065
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
25112 Highway 15
Union, MS 39365-8580
Mailing address
13 Northtown Dr
Suite 220
Jackson, MS 39211-3047
Phone (601) 956-8276
Other providers in Union, MS
- Mississippi Em-I Medical Services PC
- Rhonda Moore
- Summer Henry Moore
- Carol Johnson Moseley
- Ms Eye Care PA
- Rebecca Claire Norsworthy
- Tesa Quinn
- Quinn'S Family Pharmacy, Inc
- Rachel Farron Robertson
- Loren Robinson
All providers in Union, MS · Skilled Nursing Facility in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2009. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.