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HUMPHREYS COUNTY NURSING CENTER
NPI 1891743274
Skilled Nursing Facility in Belzoni, MS

Active since May 05, 2006CLIA 25D0676303 · Waiver
2/5
Overall Rating
500 CCC ROAD, BELZONI, MS 39038(662) 247-1821(662) 247-2078 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Humphreys County Nursing Center NPPES

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

HUMPHREYS COUNTY NURSING CENTER (NPI 1891743274) is a healthcare organization registered as a skilled nursing facility in Belzoni, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Randy Belton, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1891743274
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHUMPHREYS COMMUNITY CARE CENTER LLC
Location Address500 CCC ROADBelzoni, MS 39038-3806
Mailing Address500 Ccc RoadBelzoni, MS 39038-3806 · (662) 247-1821 · Fax (662) 247-2078
Phone(662) 247-1821
Fax(662) 247-2078
Organization SubpartNo
Authorized OfficialRandy BeltonAuthorized Representative · (601) 709-1408
Enumeration DateMay 5, 2006
Last NPPES UpdateApril 30, 2013
✔ NPI 1891743274 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 · 405
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.
500 CCC ROAD, Belzoni, MS 39038
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Other Names 1

Doing Business AsHumphreys County Nursing Center

Other Identifiers 3

Medicare OSCAR/certification255259MS
Other000080383MS · Blue Cross Blue Shield Ms
Medicaid00230170MS

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 25D0676303

Humphreys County Nursing Home · Belzoni, MS
Active · expires Aug 31, 2026
CLIA Number25D0676303
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWalter M. Gorton
Laboratory Phone(662) 247-1821
Laboratory LocationHumphreys County Nursing Home500 Ccc Rd, Belzoni, MS 39038
CLIA data matches this NPI record on: Address 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 Humphreys Co Nursing Center (CMS certification number 255259), from CMS Care Compare.

Humphreys Co Nursing Center

Nursing home · Belzoni, MS
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255259
Certified Beds60 beds56 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 2000
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
18.67
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 2.15 · LPN 0.76 · RN 0.43
3.35 hrs per resident per day
Weekend Nurse Staffing
2.91 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
27.7%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 2

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

DAISY MARIE THOMAS M.D.
Family Medicine
500 CCC ROAD
BELZONI, MS 39038
Humphreys County (662) 247-3831
HUMPHREYS COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
500 CCC ROAD
BELZONI, MS 39038
Humphreys County (662) 247-3831

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 Humphreys Community Care Center LLC's NPI number?

The NPI number for Humphreys Community Care Center LLC is 1891743274. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Humphreys County Nursing Center.

Where is Humphreys Community Care Center LLC located?

Humphreys Community Care Center LLC is located at 500 Ccc Road, Belzoni, MS 39038. The listed phone number is (662) 247-1821.

What is Humphreys Community Care Center LLC's specialty?

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

Does Humphreys Community Care Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0676303) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Humphreys Community Care Center LLC a Medicare-certified nursing home?

Yes. Humphreys Co Nursing Center is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Humphreys Community Care Center LLC have?

CMS rates Humphreys Co Nursing Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Humphreys Community Care Center LLC was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.