River Chase Village

LBN: Sentry-Gautier, Inc.
River Chase Village is an health care organization with primary practice located at 5090 Gautier Vancleave Road , Gautier MS 39553. 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. Sentry-Gautier, Inc. can be contacted via phone (228) 522-6700, or through Goddard, Cameron Dirk via phone (601) 824-9010.

Contact Information

Primary practice address
5090 Gautier Vancleave Road Gautier MS 39553
Phone: (228) 522-6700
Fax: (228) 522-3383
Website:
Map and Directions
Authorized official contact:
Name: Goddard, Cameron Dirk
Phone: (601) 824-9010

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 956 Mississippi

Profile Details

NPI number 1962508119
LBN Legal business name Sentry-Gautier, Inc.
DBA Doing business as River Chase Village
Authorized official Goddard, Cameron Dirk
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Feb 16th, 2012 - about 14 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 1962508119 NPPES
Mississippi MEDICAID 00230163

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