1001 HOSPITAL ROAD OPCO LLC
NPI 1265240113
Skilled Nursing Facility in Starkville, MS

Active since December 24, 2024CLIA 25D0677044 · Waiver
1001 HOSPITAL RD, STARKVILLE, MS 39759(662) 323-6360(662) 323-4413 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Feb 28, 2025, Dec 24, 2024 (3 updates tracked since 2024).

About 1001 Hospital Road Opco Llc NPPES

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

1001 HOSPITAL ROAD OPCO LLC (NPI 1265240113), doing business as Starkville Manor Health Care And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Starkville, Mississippi and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Tiffany Hoback, Manager, as its authorized official.

NPPES Registry Identity

NPI1265240113
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name1001 HOSPITAL ROAD OPCO LLC
Location Address1001 HOSPITAL RDStarkville, MS 39759-2125
Mailing Address1001 Hospital RdStarkville, MS 39759-2125 · (662) 323-6360 · Fax (662) 323-4413
Fax(662) 323-4413
Organization SubpartNo
Authorized OfficialTiffany HobackManager · (770) 698-9040
Enumeration DateDecember 24, 2024
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1265240113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
1001 HOSPITAL RD, Starkville, MS 39759

Other Names 1

Doing Business AsStarkville Manor Health Care And Rehabilitation

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 25D0677044

1001 Hospital Road Opco LLC · Starkville, MS
Active · expires Aug 31, 2026
CLIA Number25D0677044
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBeverly G. Wynne
Laboratory Phone(662) 323-6360
Laboratory Location1001 Hospital Road Opco LLC1001 Hospital Rd, Starkville, MS 39759
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
1001 HOSPITAL RD
STARKVILLE, MS 39759
Occupational Therapy Assistant
1001 HOSPITAL RD
STARKVILLE, MS 39759
Specialist
1001 HOSPITAL RD
STARKVILLE, MS 39759
Occupational Therapist
1001 HOSPITAL RD
STARKVILLE, MS 39759
Occupational Therapist
1001 HOSPITAL RD
STARKVILLE, MS 39759
Occupational Therapy Assistant
1001 HOSPITAL RD
STARKVILLE, MS 39759
Occupational Therapist
1001 HOSPITAL RD
STARKVILLE, MS 39759
Physical Therapist
1001 HOSPITAL RD
STARKVILLE, MS 39759

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 1001 Hospital Road Opco LLC's NPI number?

The NPI number for 1001 Hospital Road Opco LLC is 1265240113. It was assigned to this organization in the NPPES registry on December 24, 2024. The provider is doing business as Starkville Manor Health Care and Rehabilitation.

Where is 1001 Hospital Road Opco LLC located?

1001 Hospital Road Opco LLC is located at 1001 Hospital Rd, Starkville, MS 39759. The listed phone number is (662) 323-6360.

What is 1001 Hospital Road Opco LLC's specialty?

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

Does 1001 Hospital Road Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0677044) is associated with this NPI, valid through August 31, 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 1001 Hospital Road Opco LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.