GRENADA LAKE MEDICAL CENTER
NPI 1144295965
Home Health in Grenada, MS
NPI Status: Active since February 23, 2006
Contact Information
960 AVENT DR
GRENADA, MS
ZIP 38901
Phone: (662) 227-7000
Fax: (662) 227-7534
- Organization
- Home Health
About GRENADA LAKE MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Grenada Lake Medical Center, a provider established in Grenada, Mississippi operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1144295965 assigned on February 2006. The practitioner's primary taxonomy code is 251E00000X with license number 11245 (MS). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Charles L Denton (Ceo)
- NPI
- 1144295965
- Provider Name
- GRENADA LAKE MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 960 AVENT DR GRENADA, MS 38901
- Location Phone
- (662) 227-7000
- Location Fax
- (662) 227-7534
- Mailing Address
- 960 AVENT DR GRENADA, MS 38901
- Mailing Phone
- (662) 227-7000
- Mailing Fax
- (662) 227-7534
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2006
- Last Update Date
- 12-10-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 11245
- License State
- MS
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00070502 | MEDICAID (05) | MS | |
| 257134 | MEDICARE ID-TYPE UNSPECIFIED (04) | MS | MEDICARE PROVIDER |
Reviews for GRENADA LAKE MEDICAL CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 2 | 9 | 5 | 9 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 9 | 10 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 9 + 1 + 0 + 9 + 1 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1144295965 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
GRENADA LAKE MEDICAL CENTER
General Acute Care Hospital
(Rural)
960 AVENT DR
GRENADA, MS
ZIP 38901
GRENADA ANESTHESIOLOGY INC.
Anesthesiology
960 AVENT DR
GRENADA, MS
ZIP 38901
GRENADA LAKE MEDICAL CENTER
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS
ZIP 38901
DR. WALTER T TAYLOR JR. MD
Anesthesiology
960 AVENT DR
GRENADA, MS
ZIP 38901
DR. DENNIS W AUST MD
Emergency Medicine
960 AVENT DR
GRENADA, MS
ZIP 38901
DR. TARENCE E WADE MD
Emergency Medicine
960 AVENT DR
GRENADA, MS
ZIP 38901
MEDICAL IMAGING OF GRENADA INC
Radiology
(Diagnostic Radiology)
960 AVENT DR
GRENADA, MS
ZIP 38901
GRENADA LAKE MEDICAL CENTER
Psychiatric Unit
960 AVENT DR
GRENADA, MS
ZIP 38901
MR. RONNIE TRITT FNP-BC
Nurse Practitioner
(Family)
960 AVENT DR
GRENADA, MS
ZIP 38901
GRENADA LAKE MEDICAL CENTER
General Acute Care Hospital
960 AVENT DR
GRENADA, MS
ZIP 38901
GRENADA LAKE MEDICAL CENTER
Ambulance
960 AVENT DR
GRENADA, MS
ZIP 38901
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
General Acute Care Hospital
960 AVENT DR
GRENADA, MS
ZIP 38901
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Psychiatric Hospital
960 AVENT DR
GRENADA, MS
ZIP 38901
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS
ZIP 38901
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
General Acute Care Hospital
960 AVENT DR
GRENADA, MS
ZIP 38901
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS
ZIP 38901
TERRY LEE PUMMER DO
Family Medicine
960 AVENT DR
SUITE 100A
GRENADA, MS
ZIP 38901
MARIONETTE YARBROUGH PT
Physical Therapist
(Geriatrics)
960 AVENT DR
GRENADA, MS
ZIP 38901
DR. STEPHEN D BUTLER MD
Emergency Medicine
960 AVENT DR
GRENADA, MS
ZIP 38901
MRS. KAYLA HAMILTON HARVILLE FNP
Nurse Practitioner
(Family)
960 AVENT DR
GRENADA, MS
ZIP 38901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144295965, enumerated as an "organization" on February 23, 2006.
The provider is located at 960 AVENT DR GRENADA, MS 38901 and the phone number is (662) 227-7000.
Home Health with taxonomy code 251E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
