Tishomingo Manor

LBN: Tishomingo Community Care Center Llc
Tishomingo Manor is an health care organization with primary practice located at 230 Kaki Ave , Iuka MS 38852-1192. 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. Tishomingo Community Care Center Llc can be contacted via phone (662) 423-9112, or through Parkinson, Toni via phone (601) 709-1408.

Contact Information

Primary practice address
230 Kaki Ave Iuka MS 38852-1192
Phone: (662) 423-9112
Fax: (662) 423-9121
Website:
Map and Directions
Authorized official contact:
Name: Parkinson, Toni
Phone: (601) 709-1408

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 414 Mississippi

Profile Details

NPI number 1194773515
LBN Legal business name Tishomingo Community Care Center Llc
DBA Doing business as Tishomingo Manor
Authorized official Parkinson, Toni
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Apr 30th, 2013 - about 13 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 1194773515 NPPES
Mississippi MEDICAID 00230109
Mississippi Other 80488

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