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TRACE REGIONAL HOSPITAL
NPI 1306925102
Medicare Defined Swing Bed Unit in Houston, MS

Active since November 03, 2006
1/5
Overall Rating
1002 E MADISON ST, HOUSTON, MS 38851(662) 456-3700(662) 456-1159 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2024, Dec 8, 2023, Feb 8, 2023 (3 updates tracked since 2023).

About Trace Regional Hospital NPPES

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

TRACE REGIONAL HOSPITAL (NPI 1306925102) is a healthcare organization registered as a medicare defined swing bed unit in Houston, Mississippi and active in the NPI registry since November 2006. The organization lists Sheila Brockman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306925102
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameSOUTHERN HEALTH CORP OF HOUSTON INC
Location Address1002 E MADISON STHouston, MS 38851-2428
Mailing Address1002 E Madison StHouston, MS 38851-2428 · (662) 456-3700 · Fax (662) 456-1083
Phone(662) 456-3700
Fax(662) 456-1159
Organization SubpartYes
Authorized OfficialSheila BrockmanCeo · (662) 456-3700
Enumeration DateNovember 3, 2006
Last NPPES UpdateJanuary 18, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1306925102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

1002 E MADISON ST, Houston, MS 38851
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Other Names 1

Doing Business AsTrace Regional Hospital

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Trace Extended Care & Rehabilitation (CMS certification number 255306), from CMS Care Compare.

Trace Extended Care & Rehabilitation

Nursing home · Houston, MS
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255306
Certified Beds66 beds54 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 2004
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
59.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
6 totaling $36,484.50
Medicare Payment Denials
1
Total Penalties
7
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

SOUTHERN HEALTH CORP. OF HOUSTON, INC.
Clinic/Center
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 456-1163
MEAGAN ZEPEDA HILLHOUSE
Nurse Practitioner
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 456-3700
NOEL VILLAROSA GARCIA M.D.
Internal Medicine
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 448-6213
HOSPITALMD OF MS, INC
Emergency Medicine (Emergency Medical Services)
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 456-4277
WILLIAM JODY CROMWELL SR. CRNA
Nurse Anesthetist, Certified Registered
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 456-1163
EDWARD KIRKHAM GORE MD
Family Medicine
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 456-2037
BETHANY ANNA FREE FNP- BC
Nurse Practitioner (Family)
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 567-2865
MADISON EAST INTERNAL MEDICINE LLC
Specialist
1002 E MADISON ST
HOUSTON, MS 38851
Chickasaw County (662) 448-6213

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 Southern Health Corp Of Houston Inc's NPI number?

The NPI number for Southern Health Corp Of Houston Inc is 1306925102. It was assigned to this organization in the NPPES registry on November 3, 2006. The provider is doing business as Trace Regional Hospital.

Where is Southern Health Corp Of Houston Inc located?

Southern Health Corp Of Houston Inc is located at 1002 E Madison St, Houston, MS 38851. The listed phone number is (662) 456-3700.

What is Southern Health Corp Of Houston Inc's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Is Southern Health Corp Of Houston Inc a Medicare-certified nursing home?

Yes. Trace Extended Care & Rehabilitation is a Medicare-certified nursing home with 66 certified beds.

What quality rating does Southern Health Corp Of Houston Inc have?

CMS rates Trace Extended Care & Rehabilitation 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Southern Health Corp Of Houston Inc was last updated on January 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.