JAQUITH NURSING HOME - MADISON INN
NPI 1336229871
Nursing Facility/Intermediate Care Facility in Whitfield, MS

NPI Status: Active since October 17, 2006

Contact Information

3550 HWY 468 WEST
WHITFIELD, MS
ZIP 39193
Phone: (601) 351-8000
Fax: (601) 351-8586

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Nursing Facility/Intermediate Care Facil...

About JAQUITH NURSING HOME - MADISON INN

This page provides the complete NPI Profile along with additional information for Jaquith Nursing Home - Madison Inn, a provider established in Whitfield, Mississippi operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1336229871 assigned on October 2006. The practitioner's primary taxonomy code is 313M00000X with license number 945 (MS). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is Jaquith Nursing Home - Madison Inn. The authorized official of this NPI record is Mr. James G Chastain (Director)

NPI: 1336229871
Provider Legal Name: JAQUITH NURSING HOME - MADISON INN
Other Organization Name: JAQUITH NURSING HOME - MADISON INN
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 3550 HWY 468 WEST WHITFIELD, MS 39193
Location Phone: (601) 351-8000
Location Fax: (601) 351-8586
Mailing Address: P.O. BOX 1 FISCAL SERVICES 3550 HWY 468 WEST WHITFIELD, MS 39193
Mailing Phone: (601) 351-8000
Mailing Fax: (601) 351-8586
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 10-17-2006
Last Update Date: 06-08-2017
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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.: 945
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:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. JAMES G CHASTAIN
Authorized Official Title: DIRECTOR
Authorized Official Phone: (601) 351-8000

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
00230127	MEDICAID (05)	MS

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	3	3	6	2	2	9	8	7	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	6	6	4	2	18	8	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 2 + 1 + 8 + 8 + 1 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1336229871 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 13 providers are registered at the same or nearby location.

MS. SARAH H MARSHALL CFNPC

Nurse Practitioner

(Family)