Oak Grove Retirement Home

LBN: Oak Grove Retirement Home, Inc.
Oak Grove Retirement Home is an health care organization with primary practice located at 200 Oak Circle N/A, Duncan MS 38740. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Oak Grove Retirement Home, Inc. can be contacted via phone (662) 395-2577, or through Smith, Charles E via phone (662) 395-2577.

Contact Information

Primary practice address
200 Oak Circle N/A Duncan MS 38740
Phone: (662) 395-2577
Fax: (662) 395-2568
Website:
Map and Directions
Authorized official contact:
Name: Smith, Charles E LNHA
Phone: (662) 395-2577

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 00023100 Mississippi

Profile Details

NPI number 1942318118
LBN Legal business name Oak Grove Retirement Home, Inc.
DBA Doing business as Oak Grove Retirement Home
Authorized official Smith, Charles E LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2006
Last updated Oct 7th, 2008 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942318118 NPPES
Mississippi MEDICAID 00023110

Popular Providers