SOUTH CENTRAL EXTENDED CARE FACILITY
NPI 1114923059
Skilled Nursing Facility in Ellisville, MS

Active since June 24, 2005
305 E IVY ST, ELLISVILLE, MS 39437(601) 477-9381(601) 477-9870 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Central Extended Care Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CENTRAL EXTENDED CARE FACILITY (NPI 1114923059) is a healthcare organization registered as a skilled nursing facility in Ellisville, Mississippi and active in the NPI registry since June 2005. The organization lists James T Canizaro, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114923059
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSOUTH CENTRAL REGIONAL MEDICAL CENTER
Location Address305 E IVY STEllisville, MS 39437-2746
Mailing AddressPo Box 607Laurel, MS 39441-0607 · (601) 399-6103 · Fax (601) 399-6254
Fax(601) 477-9870
Organization SubpartNo
Authorized OfficialJames T CanizaroCfo · (601) 426-4504
Enumeration DateJune 24, 2005
Last NPPES UpdateNovember 16, 2007
NPI 1114923059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 11153
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
305 E IVY ST, Ellisville, MS 39437

Other Names 1

Doing Business AsSouth Central Extended Care Facility

Other Identifiers 3

Medicare ID-Type UnspecifiedC00164MS · Medicare Part B
Medicare ID-Type Unspecified255189MS
Medicare ID-Type UnspecifiedCJ0773Medicare Part B Railroad

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Central Regional Medical Center's NPI number?

The NPI number for South Central Regional Medical Center is 1114923059. It was assigned to this organization in the NPPES registry on June 24, 2005. The provider is doing business as South Central Extended Care Facility.

Where is South Central Regional Medical Center located?

South Central Regional Medical Center is located at 305 E Ivy St, Ellisville, MS 39437. The listed phone number is (601) 477-9381.

What is South Central Regional Medical Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for South Central Regional Medical Center was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.