RIVER CHASE VILLAGE
NPI 1962508119
Nursing Facility/Intermediate Care Facility in Gautier, MS

Q: What is Sentry-Gautier, Inc.'s NPI number?

The NPI number for Sentry-Gautier, Inc. is 1962508119. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as River Chase Village.

Q: What is Sentry-Gautier, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Sentry-Gautier, Inc. have?

CMS rates River Chase Village 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since September 15, 2006CLIA 25D1000302 · Waiver

1/5

Overall Rating

5090 GAUTIER VANCLEAVE ROAD, GAUTIER, MS 39553(228) 522-6700(228) 522-3383 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About River Chase Village NPPES

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

RIVER CHASE VILLAGE (NPI 1962508119) is a healthcare organization registered as a nursing facility/intermediate care facility in Gautier, Mississippi and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Cameron Dirk Goddard, Ar Manager, as its authorized official.

NPPES Registry Identity

NPI1962508119

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSENTRY-GAUTIER, INC.

Location Address5090 GAUTIER VANCLEAVE ROADGautier, MS 39553

Mailing Address106a Office Park DriveBrandon, MS 39042 · (601) 824-9010 · Fax (601) 824-9044

Phone(228) 522-6700

Fax(228) 522-3383

Organization SubpartNo

Authorized OfficialCameron Dirk GoddardAr Manager · (601) 824-9010

Enumeration DateSeptember 15, 2006

Last NPPES UpdateFebruary 16, 2012

✔ NPI 1962508119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

License✔ Licensed in MS · 956

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

5090 GAUTIER VANCLEAVE ROAD, Gautier, MS 39553

Open in Google Maps ↗

Other Names 1

Doing Business AsRiver Chase Village

Other Identifiers 2

Medicaid00230163MS

Medicare ID-Type Unspecified255289MS

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 25D1000302

River Chase Village · Gautier, MS

Active · expires Jun 6, 2028

CLIA Number25D1000302

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJune 7, 2026

Certificate Expiration DateJune 6, 2028

Laboratory DirectorMonica M. Bush

Laboratory Phone(228) 522-6700

Laboratory LocationRiver Chase Village5090 Gautier Vancleave Road, Gautier, MS 39553

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 River Chase Village (CMS certification number 255289), from CMS Care Compare.

River Chase Village

Nursing home · Gautier, MS

1/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number255289

Certified Beds60 beds54 residents per day on average

Medicare & Medicaid Participant SinceAugust 1, 2002

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

4/5

Staffing

Based on nursing staff hours relative to resident needs.

2/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

65.33

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 2.32 · LPN 1.08 · RN 0.41

3.8 hrs per resident per day

Weekend Nurse Staffing

3.37 hrs per resident per day

Physical Therapist Staffing

0.01 hrs per resident per day

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $9,317.75

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Sentry-Gautier, Inc.'s NPI number?

The NPI number for Sentry-Gautier, Inc. is 1962508119. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as River Chase Village.

Where is Sentry-Gautier, Inc. located?

Sentry-Gautier, Inc. is located at 5090 Gautier Vancleave Road, Gautier, MS 39553. The listed phone number is (228) 522-6700.

What is Sentry-Gautier, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Sentry-Gautier, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1000302) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Sentry-Gautier, Inc. a Medicare-certified nursing home?

Yes. River Chase Village is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Sentry-Gautier, Inc. have?

CMS rates River Chase Village 1 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 Sentry-Gautier, Inc. was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.