Comperes Nursing Home

LBN: North Street Healthcare Llc
Comperes Nursing Home is an health care organization with primary practice located at 865 North St , Jackson MS 39202-3020. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. North Street Healthcare Llc can be contacted via phone (601) 948-6531, or through Kelly, Charles Bruce via phone (601) 304-0980.

Contact Information

Primary practice address
865 North St Jackson MS 39202-3020
Phone: (601) 948-6531
Fax: (601) 948-6166
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Charles Bruce
Phone: (601) 304-0980

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X APPLING FOR Mississippi

Profile Details

NPI number 1568791804
LBN Legal business name North Street Healthcare Llc
DBA Doing business as Comperes Nursing Home
Authorized official Kelly, Charles Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2009
Last updated Dec 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568791804 NPPES
Mississippi MEDICAID 00230016

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