BEDFORD CARE CENTER OF MENDENHALL, LLC
NPI 1497737571
Skilled Nursing Facility in Mendenhall, MS

Active since November 15, 2005CLIA 25D0670169 · Waiver
1/5
Overall Rating
925 MANGUM AVE, MENDENHALL, MS 39114(601) 847-1311(601) 847-0857 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bedford Care Center Of Mendenhall, Llc NPPES

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

BEDFORD CARE CENTER OF MENDENHALL, LLC (NPI 1497737571) is a healthcare organization registered as a skilled nursing facility in Mendenhall, Mississippi and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stephen A. Worrel, Controller, as its authorized official.

NPPES Registry Identity

NPI1497737571
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEDFORD CARE CENTER OF MENDENHALL, LLC
Location Address925 MANGUM AVEMendenhall, MS 39114-3026
Mailing Address100 W Pine StHattiesburg, MS 39401-3467 · (601) 583-3232 · Fax (601) 582-7539
Fax(601) 847-0857
Organization SubpartNo
Authorized OfficialStephen A. WorrelController · (601) 583-3232
Enumeration DateNovember 15, 2005
Last NPPES UpdateJanuary 15, 2010
NPI 1497737571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 600
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.
925 MANGUM AVE, Mendenhall, MS 39114

Other Identifiers 4

Medicaid00230157MS
Medicare NSC4594930001MS
Medicare OSCAR/certification255150MS
Other000080357MS · Bcbs Provider Number

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 25D0670169

Bedford Care Center Of Mendenhall · Mendenhall, MS
Active · expires Aug 31, 2026
CLIA Number25D0670169
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRobert Martin
Laboratory Phone(601) 847-1311
Laboratory LocationBedford Care Center Of Mendenhall925 W Mangum Ave, Mendenhall, MS 39114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Bedford Care Center Of Mendenh (CMS certification number 255150), from CMS Care Compare.

Bedford Care Center Of Mendenh

Nursing home · Mendenhall, MS
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255150
Certified Beds60 beds54 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 1992
Resident & Family CouncilResident council
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.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
174.5
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.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.72 · LPN 1.09 · RN 0.37
4.18 hrs per resident per day
Weekend Nurse Staffing
3.3 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
73%
Registered Nurse Turnover
85.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
2
Substantiated Complaints
2
Infection-Control Citations
1
Fines
2 totaling $22,359.83
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Bedford Care Center Of Mendenhall, LLC's NPI number?

The NPI number for Bedford Care Center Of Mendenhall, LLC is 1497737571. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Bedford Care Center Of Mendenhall, LLC located?

Bedford Care Center Of Mendenhall, LLC is located at 925 Mangum Ave, Mendenhall, MS 39114. The listed phone number is (601) 847-1311.

What is Bedford Care Center Of Mendenhall, LLC's specialty?

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

Does Bedford Care Center Of Mendenhall, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0670169) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Bedford Care Center Of Mendenhall, LLC a Medicare-certified nursing home?

Yes. Bedford Care Center Of Mendenh is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Bedford Care Center Of Mendenhall, LLC have?

CMS rates Bedford Care Center Of Mendenh 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 Bedford Care Center Of Mendenhall, LLC was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.