GREENBOUGH HEALTH AND REHABILITATION CENTER
NPI 1932856531
Skilled Nursing Facility in Clarksdale, MS

Active since March 04, 2022
340 DESOTO AVENUE EXT, CLARKSDALE, MS 38614(253) 278-2258(662) 627-5654 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2024, Mar 4, 2022 (2 updates tracked since 2022).

About Greenbough Health And Rehabilitation Center NPPES

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

GREENBOUGH HEALTH AND REHABILITATION CENTER (NPI 1932856531) is a healthcare organization registered as a skilled nursing facility in Clarksdale, Mississippi and active in the NPI registry since March 2022. The organization lists Tim Lehner, Managher, as its authorized official.

NPPES Registry Identity

NPI1932856531
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name340 DESOTO AVENUE EXT OPERATIONS, LLC
Location Address340 DESOTO AVENUE EXTClarksdale, MS 38614-2814
Mailing Address340 Desoto Avenue ExtClarksdale, MS 38614-2814 · (253) 278-2258 · Fax (662) 627-5654
Fax(662) 627-5654
Organization SubpartNo
Authorized OfficialTim LehnerManagher · (770) 698-9040
Enumeration DateMarch 4, 2022
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1932856531 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.
340 DESOTO AVENUE EXT, Clarksdale, MS 38614

Other Names 1

Doing Business AsGreenbough Health And Rehabilitation Center

Other Identifiers 1

Medicaid000230119MS

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Physical Therapy Assistant
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614
Skilled Nursing Facility
340 DESOTO AVENUE EXT
CLARKSDALE, MS 38614

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 340 Desoto Avenue Ext Operations, LLC's NPI number?

The NPI number for 340 Desoto Avenue Ext Operations, LLC is 1932856531. It was assigned to this organization in the NPPES registry on March 4, 2022. The provider is doing business as Greenbough Health And Rehabilitation Center.

Where is 340 Desoto Avenue Ext Operations, LLC located?

340 Desoto Avenue Ext Operations, LLC is located at 340 Desoto Avenue Ext, Clarksdale, MS 38614. The listed phone number is (253) 278-2258.

What is 340 Desoto Avenue Ext Operations, LLC'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 340 Desoto Avenue Ext Operations, LLC was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.