SHEARER RICHARDSON MEMORIAL NURSINGHOME
NPI 1144248253
Skilled Nursing Facility in Okolona, MS

Active since July 17, 2006CLIA 25D1005914 · Waiver
512 ROCKWELL DR, OKOLONA, MS 38860(662) 447-3311(662) 447-3856 Get Directions Write a Review

NPPES record last updated: February 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shearer Richardson Memorial Nursinghome NPPES

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

SHEARER RICHARDSON MEMORIAL NURSINGHOME (NPI 1144248253) is a healthcare organization registered as a skilled nursing facility in Okolona, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists Brenda G Wise, Administrator, as its authorized official.

NPPES Registry Identity

NPI1144248253
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHEARER RICHARDSON MEMORIAL NURSINGHOME
Location Address512 ROCKWELL DROkolona, MS 38860
Mailing Address512 Rockwell DrOkolona, MS 38860 · (662) 447-3311 · Fax (662) 447-3856
Fax(662) 447-3856
Organization SubpartNo
Authorized OfficialBrenda G WiseAdministrator · (662) 447-3311
Enumeration DateJuly 17, 2006
Last NPPES UpdateFebruary 12, 2013
NPI 1144248253 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 · 153
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.
512 ROCKWELL DR, Okolona, MS 38860

Other Identifiers 1

Medicaid00230091SC

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D1005914

Shearer Richardson Memorial Nursing · Okolona, MS
Active · expires Nov 3, 2026
CLIA Number25D1005914
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorRoy Thomas
Laboratory Phone(662) 447-5463
Laboratory LocationShearer Richardson Memorial Nursing512 Rockwell Drive, Okolona, MS 38860
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
512 ROCKWELL DR
OKOLONA, MS 38860
Physical Therapist
512 ROCKWELL DR
OKOLONA, MS 38860
Speech-Language Pathologist
512 ROCKWELL DR
OKOLONA, MS 38860
Physical Medicine & Rehabilitation
512 ROCKWELL DR
OKOLONA, MS 38860
Speech-Language Pathologist
512 ROCKWELL DR
OKOLONA, MS 38860

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 Shearer Richardson Memorial Nursinghome's NPI number?

The NPI number for Shearer Richardson Memorial Nursinghome is 1144248253. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Shearer Richardson Memorial Nursinghome located?

Shearer Richardson Memorial Nursinghome is located at 512 Rockwell Dr, Okolona, MS 38860. The listed phone number is (662) 447-3311.

What is Shearer Richardson Memorial Nursinghome's specialty?

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

Does Shearer Richardson Memorial Nursinghome hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1005914) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shearer Richardson Memorial Nursinghome was last updated on February 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.