627 MIDDLETON ROAD OPCO LLC
NPI 1285442137
Skilled Nursing Facility in Winona, MS

Active since December 24, 2024CLIA 25D0674105 · Waiver
627 MIDDLETON RD, WINONA, MS 38967(662) 283-1260(662) 283-4704 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

About 627 Middleton Road Opco Llc NPPES

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

627 MIDDLETON ROAD OPCO LLC (NPI 1285442137), doing business as Middleton Oaks Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Winona, 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

NPI1285442137
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name627 MIDDLETON ROAD OPCO LLC
Location Address627 MIDDLETON RDWinona, MS 38967-2021
Mailing Address627 Middleton RdWinona, MS 38967-2021 · (662) 283-1260 · Fax (662) 283-4704
Fax(662) 283-4704
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 1285442137 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.

627 MIDDLETON RD, Winona, MS 38967

Other Names 1

Doing Business AsMiddleton Oaks Health 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 25D0674105

627 Middleton Road Opco LLC · Winona, MS
Active · expires Aug 31, 2026
CLIA Number25D0674105
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJonathan S. Matthews
Laboratory Phone(662) 283-1260
Laboratory Location627 Middleton Road Opco LLC627 Middleton Rd, Winona, MS 38967
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 11

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

Speech-Language Pathologist
627 MIDDLETON RD
WINONA, MS 38967
Speech-Language Pathologist
627 MIDDLETON RD
WINONA, MS 38967
Occupational Therapist
627 MIDDLETON RD
WINONA, MS 38967
Skilled Nursing Facility
627 MIDDLETON RD
WINONA, MS 38967
Physical Therapist
627 MIDDLETON RD
WINONA, MS 38967
Occupational Therapist
627 MIDDLETON RD
WINONA, MS 38967
Physical Therapy Assistant
627 MIDDLETON RD
WINONA, MS 38967
Speech-Language Pathologist
627 MIDDLETON RD
WINONA, MS 38967

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 627 Middleton Road Opco LLC's NPI number?

The NPI number for 627 Middleton Road Opco LLC is 1285442137. It was assigned to this organization in the NPPES registry on December 24, 2024. The provider is doing business as Middleton Oaks Health and Rehabilitation.

Where is 627 Middleton Road Opco LLC located?

627 Middleton Road Opco LLC is located at 627 Middleton Rd, Winona, MS 38967. The listed phone number is (662) 283-1260.

What is 627 Middleton Road Opco LLC's specialty?

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

Does 627 Middleton Road Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0674105) 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 627 Middleton Road Opco LLC was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.