DESOTO PEDIATRIC EXTENDED CARE LLC
NPI 1538526140
Skilled Nursing Facility - Nursing Care, Pediatric in Southhaven, MS
About Desoto Pediatric Extended Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESOTO PEDIATRIC EXTENDED CARE LLC (NPI 1538526140) is a healthcare organization registered as a nursing care, pediatric in Southhaven, Mississippi and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Maureen Gallagher, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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 25D2108422
Desoto Pediatric Extended Care · Southaven, MSFrequently 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 Desoto Pediatric Extended Care LLC's NPI number?
The NPI number for Desoto Pediatric Extended Care LLC is 1538526140. It was assigned to this organization in the NPPES registry on January 27, 2016.
Where is Desoto Pediatric Extended Care LLC located?
Desoto Pediatric Extended Care LLC is located at 750 Stateline Road East, Southhaven, MS 38671. The listed phone number is (662) 468-1320.
What is Desoto Pediatric Extended Care LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.
Does Desoto Pediatric Extended Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2108422) is associated with this NPI, valid through February 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Desoto Pediatric Extended Care LLC was last updated on January 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.
