PECAN GROVE
NPI 1205904604
Nursing Facility/Intermediate Care Facility in Ellisville, MS
NPI Status: Active since December 01, 2006
Contact Information
1101 HIGHWAY 11 S
ELLISVILLE, MS
ZIP 39437
Phone: (601) 477-9384
Fax: (601) 477-5700
- Organization
- Nursing Facility/Intermediate Care Facil...
About PECAN GROVE
This page provides the complete NPI Profile along with additional information for Pecan Grove, a provider established in Ellisville, Mississippi operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1205904604 assigned on December 2006. The practitioner's primary taxonomy code is 313M00000X with license number 284 (MS). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Suzie Lassiter (Director Of Facility)
- NPI
- 1205904604
- Provider Name
- PECAN GROVE
- Entity Type
- Organization
- Location Address
- 1101 HIGHWAY 11 S ELLISVILLE, MS 39437
- Location Phone
- (601) 477-9384
- Location Fax
- (601) 477-5700
- Mailing Address
- 1101 HIGHWAY 11 S ELLISVILLE, MS 39437
- Mailing Phone
- (601) 477-9384
- Mailing Fax
- (601) 477-5700
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-01-2006
- Last Update Date
- 08-22-2020
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 284
- License State
- MS
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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 |
|---|---|---|---|
| 00021847 | MEDICAID (05) | MS |
Reviews for PECAN GROVE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205904604, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
ELLISVILLE, MS 39437
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205904604, enumerated as an "organization" on December 01, 2006.
The provider is located at 1101 HIGHWAY 11 S ELLISVILLE, MS 39437 and the phone number is (601) 477-9384.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
