COVENANT HEALTH & REHAB OF VICKSBURG, LP
NPI 1548210289
Skilled Nursing Facility in Vicksburg, MS

Active since May 11, 2006
2850 PORTERS CHAPEL RD, VICKSBURG, MS 39180(601) 638-9211(601) 636-4986 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Covenant Health & Rehab Of Vicksburg, Lp NPPES

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

COVENANT HEALTH & REHAB OF VICKSBURG, LP (NPI 1548210289) is a healthcare organization registered as a skilled nursing facility in Vicksburg, Mississippi and active in the NPI registry since May 2006. The organization lists Judy Ullery, President, as its authorized official.

NPPES Registry Identity

NPI1548210289
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOVENANT HEALTH & REHAB OF VICKSBURG, LP
Location Address2850 PORTERS CHAPEL RDVicksburg, MS 39180-1805
Mailing Address2850 Porters Chapel RdVicksburg, MS 39180-1805 · (601) 638-9211 · Fax (601) 636-4986
Fax(601) 636-4986
Organization SubpartNo
Authorized OfficialJudy UlleryPresident · (901) 937-7994
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 10, 2007
NPI 1548210289 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 · 595
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.
2850 PORTERS CHAPEL RD, Vicksburg, MS 39180

Other Identifiers 2

Medicaid0220282MS
Medicare ID-Type Unspecified25-5140MS

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Speech-Language Pathologist
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Skilled Nursing Facility
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Speech-Language Pathologist
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Speech-Language Pathologist
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Physical Therapist
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Occupational Therapist
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180
Skilled Nursing Facility
2850 PORTERS CHAPEL RD
VICKSBURG, MS 39180

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 Covenant Health & Rehab Of Vicksburg, LP's NPI number?

The NPI number for Covenant Health & Rehab Of Vicksburg, LP is 1548210289. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Covenant Health & Rehab Of Vicksburg, LP located?

Covenant Health & Rehab Of Vicksburg, LP is located at 2850 Porters Chapel Rd, Vicksburg, MS 39180. The listed phone number is (601) 638-9211.

What is Covenant Health & Rehab Of Vicksburg, LP's specialty?

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

When was this NPI record last updated?

The NPPES record for Covenant Health & Rehab Of Vicksburg, LP was last updated on August 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.