JAQUITH NURSING HOME - MONROE INN - NPI 1508954082 - Nursing Facility/Intermediate Care Facility in Whitfield, MS

Q: What is the provider's specialty?

The provider's specialty is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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About Jaquith Nursing Home - Monroe Inn NPPES

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

JAQUITH NURSING HOME - MONROE INN (NPI 1508954082) is a healthcare organization registered as a nursing facility/intermediate care facility in Whitfield, Mississippi and active in the NPI registry since October 2006. The organization lists James G Chastain, Director, as its authorized official.

NPPES Registry Identity

NPI1508954082

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameJAQUITH NURSING HOME - MONROE INN

Location Address3550 HWY 468 WESTWhitfield, MS 39193-0157

Mailing AddressP.o. Box 1 Fiscal Services, 3550 Hwy 468 WestWhitfield, MS 39193-0157 · (601) 351-8000 · Fax (601) 351-8586

Phone(601) 351-8000

Fax(601) 351-8586

Organization SubpartYesParent: Mississippi State Hospital At Whitfield

Authorized OfficialJames G ChastainDirector · (601) 351-8000

Enumeration DateOctober 10, 2006

Last NPPES UpdateJune 2, 2017

✔ NPI 1508954082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in MS · 940

Definition

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.

3550 HWY 468 WEST, Whitfield, MS 39193

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Other Names 1

Other NameJaquith Nursing Home - Monroe Inn

Other Identifiers 1

Medicaid00230124MS

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 25D0884433

Jaquith Nursing Home Jaquith Inn · Whitfield, MS

Expired · Mar 30, 2026

CLIA Number25D0884433

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateMarch 31, 2024

Certificate Expiration DateMarch 30, 2026

Laboratory DirectorLee Varner

Laboratory Phone(601) 351-8015

Laboratory LocationJaquith Nursing Home Jaquith Inn3550 Highway 468 W Bldg 78, Whitfield, MS 39193

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

MS. SARAH H MARSHALL CFNPC

Nurse Practitioner (Family)