BOYINGTON HEALTH AND REHABILITATION CENTER
NPI 1720248909
Skilled Nursing Facility in Gulfport, MS
NPI Status: Active since June 11, 2008
Contact Information
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 864-6544
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 25D0672421
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About BOYINGTON HEALTH AND REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Boyington Health And Rehabilitation Center, a provider established in Gulfport, Mississippi operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1720248909 assigned on June 2008. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Boyington Health And Rehabilitation Center. The authorized official of this NPI record is James Richardson (President)
- NPI
- 1720248909
- Provider Legal Name
- MS HUD BOYINGTON, LLC
- Other Organization Name
- BOYINGTON HEALTH AND REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1530 BROAD AVE GULFPORT, MS 39501
- Location Phone
- (228) 864-6544
- Mailing Address
- 40 PALAFOX PL SUITE 400 PENSACOLA, FL 32502
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-11-2008
- Last Update Date
- 09-29-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 255092 | MEDICARE OSCAR/CERTIFICATION (06) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0672421
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DENNIS C. BARNETT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Boyington Health And Rehabilitation Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BOYINGTON HEALTH AND REHABILITATION CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 4 | 8 | 9 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 4 | 16 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 4 + 1 + 6 + 9 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1720248909 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
JEANNINE A RACEY CGNP
Nurse Practitioner
(Gerontology)
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
ANNE WEAVER GOMILA MS, OTR/L
Occupational Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
MRS. AMBER MATHIS COOLEY OTR/L
Occupational Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
CAITLIN JOHNSON PT, DPT
Physical Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
ALLISON MARTINEZ MOT, OTR/L
Occupational Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
PENSACOLA HEALTH TRUST INC
Skilled Nursing Facility
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
JILL BOYER
Physical Therapy Assistant
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
JENNIFER KRINER
Speech-Language Pathologist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
MRS. JESSICA FUQUA NP-C
Nurse Practitioner
(Family)
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
MRS. JO ANN DRENNAN APRN
Nurse Practitioner
(Gerontology)
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
DR. AMANDA MICHELLE TAPPER DPT
Physical Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
STEFAN MCCLELLAN
Physical Therapy Assistant
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
ELIZABETH ANDERSON DPT
Physical Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
1530 BROAD AVENUE OPERATIONS, LLC
Skilled Nursing Facility
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
TISHA NICOLE RADICH COTA/L
Occupational Therapy Assistant
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
BLAIR GUICE ADERHOLD
Physical Therapist
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720248909, enumerated as an "organization" on June 11, 2008.
The provider is located at 1530 BROAD AVE GULFPORT, MS 39501 and the phone number is (228) 864-6544.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
