Organization Active NPI

Union County Health & Rehabilitation Center, Inc.

  • Skilled Nursing Facility
  • New Albany, MS
National Provider Identifier
1992723696
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
986 Issued in MS
Legal business name
UNION COUNTY HEALTH & REHABILITATION CENTER, INC.
Practice address
1111 Bratton Rd
New Albany, MS 38652-9416
Phone
(662) 539-0502
Fax
(662) 539-0602
NPI assigned
Jul 18, 2006
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Rebecca Shelton
Title
Director/Secretary
Phone
(601) 956-8276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 986 MS Primary

Addresses

Primary practice location

1111 Bratton Rd
New Albany, MS 38652-9416

Mailing address

1111 Bratton Rd
New Albany, MS 38652-9416
Phone (662) 539-0502

Other identifiers 1

IdentifierTypeStateIssuer
04456547MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050330001182 MS Part A Provider - Skilled Nursing Facility 1658327846 Practice locations: New Albany, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992723696. Details of each certification follow.

Skilled nursing facility certification: CCN 255312

Legal name
UNION COUNTY HEALTH & REHABILITATION CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 18, 2005
Last certification
Aug 8, 2024
Beds
60
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
May 27, 2004 in MS
Enrollment address
1111 Bratton Rd
New Albany, MS 38652-9416
Nursing home name
UNION CO HEALTH AND REHAB CENTER, INC
Affiliated entity
THE BEEBE FAMILY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Union Co Health and Rehab Center, IncCCN 255312 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 18, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6052.1 residents per day on average
Chain
The Beebe Family48 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
25D1038392Union County Health and Rehabilitation1111 Bratton Road, New Albany, MS 38652Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

1111 Bratton Rd
New Albany, MS 38652
Phone (662) 539-0502

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Joseph K Speetjens Individual 5% Or Greater Direct Ownership Interest Jun 1, 2004
Corporate Director Mar 30, 2005
Rebecca H Shelton Individual Corporate Director Apr 1, 2005
Mims R Jones Individual W-2 Managing EmployeeAd; May 1, 2020 75%
Adp of the SNF Jan 16, 2025
Long Term Care Management LLC Organization, Jackson, MS LLC Operational/Managerial Control Dec 30, 2024
Adp of the SNF Jan 16, 2025
Steven L Delaney Individual 5% Or Greater Direct Ownership Interest Apr 1, 2005
Corporate Director Mar 30, 2005
Laurence Leon Dennis Individual Contracted Managing EmployeeMD; Jan 1, 2020
Adp of the SNF Jan 16, 2025
Garry H Pace Individual 5% Or Greater Direct Ownership Interest Jun 1, 2004
Corporate Director Mar 30, 2005

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

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, and the practitioner matching its NPPES authorized official.

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1992723696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BRATTON RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529416",
            "telephone_number": "662-539-0502",
            "fax_number": "662-539-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BRATTON RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529416",
            "telephone_number": "662-539-0502",
            "fax_number": "662-539-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY HEALTH & REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR/SECRETARY",
        "authorized_official_telephone_number": "601-956-8276"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04456547",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.