TALLAHATCHIE GENERAL HOSPITAL AND EXTENDED CARE FACILITY
NPI 1659555761
Nursing Facility/Intermediate Care Facility in Charleston, MS

Active since December 26, 2007
141 DR T. T. LEWIS CIRCLE, CHARLESTON, MS 38921(662) 647-5535(662) 647-8432 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: May 12, 2025, Jul 14, 2022, Jun 21, 2021 (3 updates tracked since 2021).

About Tallahatchie General Hospital And Extended Care Facility NPPES

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

TALLAHATCHIE GENERAL HOSPITAL AND EXTENDED CARE FACILITY (NPI 1659555761), doing business as Extended Care Facility, is a healthcare organization registered as a nursing facility/intermediate care facility in Charleston, Mississippi and active in the NPI registry since December 2007. The organization lists Heather Holeman Godsey, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1659555761
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameTALLAHATCHIE GENERAL HOSPITAL AND EXTENDED CARE FACILITY
Location Address141 DR T. T. LEWIS CIRCLECharleston, MS 38921
Mailing AddressPo Box 230Charleston, MS 38921 · (662) 647-5535 · Fax (662) 647-8432
Fax(662) 647-8432
Organization SubpartNo
Authorized OfficialHeather Holeman GodseyRevenue Cycle Director · (662) 625-7191
Enumeration DateDecember 26, 2007
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1659555761 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 · 1054
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.
141 DR T. T. LEWIS CIRCLE, Charleston, MS 38921

Other Names 1

Doing Business AsExtended Care Facility

Other Identifiers 1

Medicaid00023141MS

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 Tallahatchie General Hospital And Extended Care Facility's NPI number?

The NPI number for Tallahatchie General Hospital And Extended Care Facility is 1659555761. It was assigned to this organization in the NPPES registry on December 26, 2007. The provider is doing business as Extended Care Facility.

Where is Tallahatchie General Hospital And Extended Care Facility located?

Tallahatchie General Hospital And Extended Care Facility is located at 141 Dr T. T. Lewis Circle, Charleston, MS 38921. The listed phone number is (662) 647-5535.

What is Tallahatchie General Hospital And Extended Care Facility's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Tallahatchie General Hospital And Extended Care Facility was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.