GREENBOUGH HEALTH AND REHABILITATION CENTER
NPI 1548420086
Skilled Nursing Facility in Clarksdale, MS

Active since June 09, 2008CLIA 25D0669965 · Waiver
1/5
Overall Rating
340 DESOTO AVENUE EXT, CLARKSDALE, MS 38614(662) 627-3486 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greenbough Health And Rehabilitation Center NPPES

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

GREENBOUGH HEALTH AND REHABILITATION CENTER (NPI 1548420086) is a healthcare organization registered as a skilled nursing facility in Clarksdale, Mississippi and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1548420086
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMS GREENBOUGH LLC
Location Address340 DESOTO AVENUE EXTClarksdale, MS 38614-2814
Mailing Address40 Palafox Pl, Suite 400Pensacola, FL 32502-5697
Organization SubpartYesParent: Gulf Coast Facilities Llc
Authorized OfficialJames RichardsonPresident · (850) 430-0000
Enumeration DateJune 9, 2008
Last NPPES UpdateOctober 5, 2015
NPI 1548420086 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.
340 DESOTO AVENUE EXT, Clarksdale, MS 38614

Other Names 1

Doing Business AsGreenbough Health And Rehabilitation Center

Other Identifiers 1

Medicare OSCAR/certification255294MS

Accepted Insurance

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 25D0669965

Greenbough Health And Rehabilitation Center · Clarksdale, MS
Active · expires Aug 31, 2026
CLIA Number25D0669965
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn A. Mcdaniel
Laboratory Phone(662) 627-3486
Laboratory LocationGreenbough Health And Rehabilitation Center340 Desoto Ave Ext, Clarksdale, MS 38614
CLIA data matches this NPI record on: Address 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 Greenbough Health And Rehabilitation Center (CMS certification number 255294), from CMS Care Compare.

Greenbough Health And Rehabilitation Center

Nursing home · Clarksdale, MS
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number255294
Certified Beds60 beds55 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
53.33
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 1.86 · LPN 1.22 · RN 0.32
3.4 hrs per resident per day
Weekend Nurse Staffing
2.65 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.
55.6%
Registered Nurse Turnover
87.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
1
Infection-Control Citations
0
Fines
5 totaling $48,521.25
Medicare Payment Denials
0
Total Penalties
5
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Physical Therapy Assistant
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614

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 Ms Greenbough LLC's NPI number?

The NPI number for Ms Greenbough LLC is 1548420086. It was assigned to this organization in the NPPES registry on June 9, 2008. The provider is doing business as Greenbough Health And Rehabilitation Center.

Where is Ms Greenbough LLC located?

Ms Greenbough LLC is located at 340 Desoto Avenue Ext, Clarksdale, MS 38614. The listed phone number is (662) 627-3486.

What is Ms Greenbough LLC's specialty?

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

Does Ms Greenbough LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0669965) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ms Greenbough LLC a Medicare-certified nursing home?

Yes. Greenbough Health And Rehabilitation Center is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Ms Greenbough LLC have?

CMS rates Greenbough Health And Rehabilitation Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Ms Greenbough LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Ms Greenbough LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ms Greenbough LLC was last updated on October 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.