HATTIESBURG CONVALESCENT CENTER
NPI 1922096866
Skilled Nursing Facility in Hattiesburg, MS

Active since October 13, 2005
514 BAY ST, HATTIESBURG, MS 39401(601) 544-4230(601) 582-2480 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hattiesburg Convalescent Center NPPES

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

HATTIESBURG CONVALESCENT CENTER (NPI 1922096866) is a healthcare organization registered as a skilled nursing facility in Hattiesburg, Mississippi and active in the NPI registry since October 2005. The organization lists Jewell C Mcmahan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922096866
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHATTIESBURG CONVALESCENT HOME, INC.
Location Address514 BAY STHattiesburg, MS 39401-3933
Mailing Address514 Bay StHattiesburg, MS 39401-3933 · (601) 544-4230 · Fax (601) 582-2480
Fax(601) 582-2480
Organization SubpartNo
Authorized OfficialJewell C McmahanAdministrator · (601) 544-4230
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1922096866 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 · 25
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

Other Names 1

Other NameHattiesburg Convalescent Center

Other Identifiers 1

Medicaid0023061MS

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.

Pharmacist
514 BAY ST
HATTIESBURG, MS 39401
Skilled Nursing Facility
514 BAY ST
HATTIESBURG, MS 39401
Physical Therapist (Geriatrics)
514 BAY ST
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 Hattiesburg Convalescent Home, Inc.'s NPI number?

The NPI number for Hattiesburg Convalescent Home, Inc. is 1922096866. It was assigned to this organization in the NPPES registry on October 13, 2005. The provider is also known as Hattiesburg Convalescent Center.

Where is Hattiesburg Convalescent Home, Inc. located?

Hattiesburg Convalescent Home, Inc. is located at 514 Bay St, Hattiesburg, MS 39401. The listed phone number is (601) 544-4230.

What is Hattiesburg Convalescent Home, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Hattiesburg Convalescent Home, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.