BEDFORD CARE CENTER OF HATTIESBURG, LLC
NPI 1811979990
Skilled Nursing Facility in Hattiesburg, MS

Active since November 15, 2005CLIA 25D0857993 · Waiver
10 MEDICAL BLVD, HATTIESBURG, MS 39401(601) 264-3709(601) 264-1144 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bedford Care Center Of Hattiesburg, Llc NPPES

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

BEDFORD CARE CENTER OF HATTIESBURG, LLC (NPI 1811979990) is a healthcare organization registered as a skilled nursing facility in Hattiesburg, Mississippi and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Steve A. Worrel, Controller, as its authorized official.

NPPES Registry Identity

NPI1811979990
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBEDFORD CARE CENTER OF HATTIESBURG, LLC
Location Address10 MEDICAL BLVDHattiesburg, MS 39401-7230
Mailing Address100 W Pine StHattiesburg, MS 39401-3467 · (601) 583-3232 · Fax (601) 582-7539
Fax(601) 264-1144
Organization SubpartNo
Authorized OfficialSteve A. WorrelController · (601) 583-3232
Enumeration DateNovember 15, 2005
Last NPPES UpdateJanuary 15, 2010
NPI 1811979990 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 · 237
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.

10 MEDICAL BLVD, Hattiesburg, MS 39401

Other Identifiers 4

Medicaid00230158MS
Medicare NSC4594760001MS
Medicare OSCAR/certification255158MS
Other000080352MS · Bcbs Provider Number

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 25D0857993

Bedford Care Center Hattiesburg · Hattiesburg, MS
Active · expires Aug 31, 2026
CLIA Number25D0857993
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Kayla Fountain
Laboratory Phone(601) 264-3709
Laboratory LocationBedford Care Center Hattiesburg10 Medical Blvd, Hattiesburg, MS 39401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Physical Therapy Assistant
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Physical Therapy Assistant
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Occupational Therapist
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Occupational Therapy Assistant
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Occupational Therapy Assistant
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Physical Therapy Assistant
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Speech-Language Pathologist
10 MEDICAL BLVD
HATTIESBURG, MS 39401
Occupational Therapist
10 MEDICAL BLVD
HATTIESBURG, MS 39401

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 Bedford Care Center Of Hattiesburg, LLC's NPI number?

The NPI number for Bedford Care Center Of Hattiesburg, LLC is 1811979990. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Bedford Care Center Of Hattiesburg, LLC located?

Bedford Care Center Of Hattiesburg, LLC is located at 10 Medical Blvd, Hattiesburg, MS 39401. The listed phone number is (601) 264-3709.

What is Bedford Care Center Of Hattiesburg, LLC's specialty?

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

Does Bedford Care Center Of Hattiesburg, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0857993) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bedford Care Center Of Hattiesburg, LLC was last updated on January 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.