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HATTIESBURG HEALTH & REHAB CENTER LLC
NPI 1891938049
Skilled Nursing Facility in Hattiesburg, MS

Active since April 16, 2009CLIA 25D0669967 · Waiver
2/5
Overall Rating
514 BAY ST, HATTIESBURG, MS 39401(601) 544-4230(601) 582-2480 Get Directions Write a Review

NPPES record last updated: April 16, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hattiesburg Health & Rehab Center Llc NPPES

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

HATTIESBURG HEALTH & REHAB CENTER LLC (NPI 1891938049) is a healthcare organization registered as a skilled nursing facility in Hattiesburg, Mississippi and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Royce J Delaney, Member, as its authorized official.

NPPES Registry Identity

NPI1891938049
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHATTIESBURG HEALTH & REHAB CENTER LLC
Location Address514 BAY STHattiesburg, MS 39401-3933
Mailing Address13 Northtown Dr, Suite 220Jackson, MS 39211-3047 · (601) 956-8276 · Fax (601) 709-0832
Phone(601) 544-4230
Fax(601) 582-2480
Organization SubpartNo
Authorized OfficialRoyce J DelaneyMember · (601) 956-8276
Enumeration DateApril 16, 2009
✔ NPI 1891938049 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.
514 BAY ST, Hattiesburg, MS 39401
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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 25D0669967

Hattiesburg Health & Rehab · Hattiesburg, MS
Active · expires Aug 31, 2026
CLIA Number25D0669967
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTy Meador
Laboratory Phone(601) 544-4230
Laboratory LocationHattiesburg Health & Rehab514 Bay Street, Hattiesburg, MS 39401
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 Hattiesburg Health & Rehab Center (CMS certification number 255321), from CMS Care Compare.

Hattiesburg Health & Rehab Center

Nursing home · Hattiesburg, MS
2/5 CMS Overall Rating
OwnershipFor profit - Partnership
CMS Certification Number255321
Certified Beds164 beds142 residents per day on average
Medicare & Medicaid Participant SinceJuly 1, 2007
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
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.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
27.33
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 2.71 · LPN 1.42 · RN 0.53
4.67 hrs per resident per day
Weekend Nurse Staffing
4.02 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.3%
Registered Nurse Turnover
27.8%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
0
Substantiated Complaints
1
Fines
1 totaling $8,021.00
Medicare Payment Denials
0
Total Penalties
1
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 3

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

HATTIESBURG CONVALESCENT HOME, INC.
Pharmacist
514 BAY ST
HATTIESBURG, MS 39401
Forrest County (601) 544-4230
HATTIESBURG CONVALESCENT HOME, INC.
Skilled Nursing Facility
514 BAY ST
HATTIESBURG, MS 39401
Forrest County (601) 544-4230
STEVEN BURCH LPTA
Physical Therapist (Geriatrics)
514 BAY ST
HATTIESBURG, MS 39401
Forrest County (601) 249-9460

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 Hattiesburg Health & Rehab Center LLC's NPI number?

The NPI number for Hattiesburg Health & Rehab Center LLC is 1891938049. It was assigned to this organization in the NPPES registry on April 16, 2009.

Where is Hattiesburg Health & Rehab Center LLC located?

Hattiesburg Health & Rehab Center LLC is located at 514 Bay St, Hattiesburg, MS 39401. The listed phone number is (601) 544-4230.

What is Hattiesburg Health & Rehab Center LLC's specialty?

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

Does Hattiesburg Health & Rehab Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0669967) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Hattiesburg Health & Rehab Center LLC a Medicare-certified nursing home?

Yes. Hattiesburg Health & Rehab Center is a Medicare-certified nursing home with 164 certified beds.

What quality rating does Hattiesburg Health & Rehab Center LLC have?

CMS rates Hattiesburg Health & Rehab 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 Hattiesburg Health & Rehab Center LLC was last updated on April 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.