501 SOUTH LOCUST STREET OPCO LLC
NPI 1437967536
Skilled Nursing Facility in Mccomb, MS

Active since December 20, 2024CLIA 25D0320048 · Waiver
501 S LOCUST ST, MCCOMB, MS 39648(601) 684-8111 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 10, 2025, Feb 28, 2025, Dec 20, 2024 (3 updates tracked since 2024).

About 501 South Locust Street Opco Llc NPPES

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

501 SOUTH LOCUST STREET OPCO LLC (NPI 1437967536), doing business as Courtyard Health And Rehabilitation, is a healthcare organization registered as a skilled nursing facility in Mccomb, 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

NPI1437967536
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name501 SOUTH LOCUST STREET OPCO LLC
Location Address501 S LOCUST STMccomb, MS 39648-4336
Mailing Address501 S Locust StMccomb, MS 39648-4336 · (601) 684-8111 · Fax (601) 684-2881
Organization SubpartNo
Authorized OfficialTiffany HobackManager · (770) 698-9040
Enumeration DateDecember 20, 2024
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1437967536 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.

501 S LOCUST ST, Mccomb, MS 39648

Other Names 1

Doing Business AsCourtyard 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 25D0320048

501 South Locust Street Opco LLC · Mccomb, MS
Active · expires Aug 31, 2026
CLIA Number25D0320048
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGary W. Mize
Laboratory Phone(601) 684-8111
Laboratory Location501 South Locust Street Opco LLC501 S Locust St, Mccomb, MS 39648
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 17

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

Physical Therapy Assistant
501 S LOCUST ST
MCCOMB, MS 39648
Occupational Therapy Assistant
501 S LOCUST ST
MCCOMB, MS 39648
Contractor
501 S LOCUST ST
MCCOMB, MS 39648
Occupational Therapy Assistant
501 S LOCUST ST
MCCOMB, MS 39648
Physical Therapist
501 S LOCUST ST
MCCOMB, MS 39648
Physical Therapy Assistant
501 S LOCUST ST
MCCOMB, MS 39648
Physical Therapy Assistant
501 S LOCUST ST
MCCOMB, MS 39648
Physical Therapy Assistant
501 S LOCUST ST
MCCOMB, MS 39648

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437967536, enumerated as an "organization" on December 20, 2024.

The provider is located at 501 S LOCUST ST MCCOMB, MS 39648 and the phone number is (601) 684-8111.

Skilled Nursing Facility with taxonomy code 314000000X.