HERITAGE MANOR PCH, INC.
NPI 1922271360
Assisted Living Facility in Silver Creek, MS

Q: What is Heritage Manor Pch, Inc.'s NPI number?

The NPI number for Heritage Manor Pch, Inc. is 1922271360. It was assigned to this organization in the NPPES registry on April 7, 2008.

Q: What is Heritage Manor Pch, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 07, 2008

2051 FERGUSON MILL RD, SILVER CREEK, MS 39663(601) 886-7251(601) 886-9990 Get Directions Write a Review

NPPES record last updated: April 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heritage Manor Pch, Inc. NPPES

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

HERITAGE MANOR PCH, INC. (NPI 1922271360) is a healthcare organization registered as an assisted living facility in Silver Creek, Mississippi and active in the NPI registry since April 2008. The organization lists Carrol Ann Hudspeth, President, as its authorized official.

NPPES Registry Identity

NPI1922271360

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHERITAGE MANOR PCH, INC.

Location Address2051 FERGUSON MILL RDSilver Creek, MS 39663-4435

Mailing AddressPo Box 1337Monticello, MS 39654-1337 · (601) 886-7251 · Fax (601) 886-9990

Phone(601) 886-7251

Fax(601) 886-9990

Organization SubpartNo

Authorized OfficialCarrol Ann HudspethPresident · (601) 757-0059

Enumeration DateApril 7, 2008

✔ NPI 1922271360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MS · 875

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2051 FERGUSON MILL RD, Silver Creek, MS 39663

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Other Identifiers 1

Medicaid06376862MS

Other Providers at the Same Location NPPES

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

TIFFANY KATINA HALEY

Homemaker

2051 FERGUSON MILL RD
SILVER CREEK, MS 39663

Lawrence County (601) 754-3978

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 Heritage Manor Pch, Inc.'s NPI number?

The NPI number for Heritage Manor Pch, Inc. is 1922271360. It was assigned to this organization in the NPPES registry on April 7, 2008.

Where is Heritage Manor Pch, Inc. located?

Heritage Manor Pch, Inc. is located at 2051 Ferguson Mill Rd, Silver Creek, MS 39663. The listed phone number is (601) 886-7251.

What is Heritage Manor Pch, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Heritage Manor Pch, Inc. was last updated on April 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.