Active NPI
Union County Health & Rehabilitation Center, Inc.
- Skilled Nursing Facility
- New Albany, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 986
- 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, 2009
- 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
- Rebecca Shelton
- Title
- Director/Secretary
- Phone
- (601) 956-8276
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04456547 | Medicaid | 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 |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 18, 2005
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- The Beebe Family
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 |
|---|---|---|---|
| 25D1038392 | Union County Health and Rehabilitation | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph K Speetjens | 5% Or Greater Direct Ownership Interest | Jun 1, 2004 | |
| Corporate Director | Mar 30, 2005 | ||
| Rebecca H Shelton | Corporate Director | Apr 1, 2005 | |
| Mims R Jones | W-2 Managing Employee | May 1, 2020 | 75% |
| Adp of the SNF | Jan 16, 2025 | ||
| Long Term Care Management LLC | Operational/Managerial Control | Dec 30, 2024 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Steven L Delaney | 5% Or Greater Direct Ownership Interest | Apr 1, 2005 | |
| Corporate Director | Mar 30, 2005 | ||
| Laurence Leon Dennis | Contracted Managing Employee | Jan 1, 2020 | |
| Adp of the SNF | Jan 16, 2025 | ||
| Garry H Pace | 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.
-
- Internal Medicine Physician
- Booneville, MS
- NPI 1760466262
Adp of the SNF, Contracted Managing Employee
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Greene Rural Health Care
- Skilled Nursing Facility
- Leakesville, MS
- NPI 1205017977
Long Term Care Management LLC
-
- Skilled Nursing Facility
- Lucedale, MS
- NPI 1790082188
Long Term Care Management LLC
-
- Skilled Nursing Facility
- Hattiesburg, MS
- NPI 1891938049
Long Term Care Management LLC
-
- Nursing Facility/Intermediate Care Facility
- Jackson, MS
- NPI 1891169496
Long Term Care Management LLC
-
- Nursing Facility/Intermediate Care Facility
- Jackson, MS
- NPI 1598139248
Long Term Care Management LLC
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.
-
- Internal Medicine Physician
- Booneville, MS
- NPI 1760466262
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
- Kathryn Grace Topper
- Tri County Drugs, Inc (Eastgate Pharmacy)
- Trina Health of New Albany, Inc
- Byron Shane Tucker, MD
- Meghan Turner, DMD
- Union LTC, Inc (New Albany Health & Rehab Center)
- V & B Enterprises LLC.
- Gena Anne Vail, CFNP
- Robert Ira Vail, F.N.P.
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0153)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.