JASPER COUNTY NURSING HOME
NPI 1992804512
Nursing Facility/Intermediate Care Facility in Bay Springs, MS

NPI Status: Active since September 21, 2006

Contact Information

15A SOUTH 6TH STREET
BAY SPRINGS, MS
ZIP 39422
Phone: (601) 764-2101
Fax: (601) 764-2930

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 25D2140994
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 12-04-2025

About JASPER COUNTY NURSING HOME

This page provides the complete NPI Profile along with additional information for Jasper County Nursing Home, a provider established in Bay Springs, Mississippi operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1992804512 assigned on September 2006. The practitioner's primary taxonomy code is 313M00000X with license number 209 (MS). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Marshall Kenneth Posey (Administrator)

NPI
1992804512
Provider Name
JASPER COUNTY NURSING HOME
Entity Type
Organization
Location Address
15A SOUTH 6TH STREET BAY SPRINGS, MS 39422
Location Phone
(601) 764-2101
Location Fax
(601) 764-2930
Mailing Address
PO BOX 527 BAY SPRINGS, MS 39422
Mailing Phone
(601) 764-2101
Mailing Fax
(601) 764-2930
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
209
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARSHALL KENNETH POSEY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(601) 764-2101

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00023083MEDICAID (05)MS 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
25D2140994
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
December 05, 2023
Certificate Expiration Date
December 04, 2025
Laboratory Director
CYNTHIA M. EUBANKS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Jasper County Nursing Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992804512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182160852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 1 + 6 + 0 + 8 + 5 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1992804512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

JASPER GENERAL HOSPITAL

Medicare Defined Swing Bed Unit

15A SOUTH 6TH STREET
BAY SPRINGS, MS
ZIP 39422

(601) 764-2101

COURTNEY COVIN

Speech-Language Pathologist

15A SOUTH 6TH STREET
BAY SPRINGS, MS
ZIP 39422

(601) 764-2101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992804512, enumerated as an "organization" on September 21, 2006.

The provider is located at 15A SOUTH 6TH STREET BAY SPRINGS, MS 39422 and the phone number is (601) 764-2101.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.