AUTUMN LEAVES NURSING HOME – NPI #1164510475
Skilled Nursing Facility

(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.

AUTUMN LEAVES NURSING HOME is a skilled nursing facility (SNF) located in GREENVILLE, MS. NPPES has assigned the NPI number 1164510475 to AUTUMN LEAVES NURSING HOME on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUTUMN LEAVES NURSING HOME” is a dba name, the actual legal business name for this organization is MAGNOLIA HEALTHCARE, INC.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 7 years ago on Sep 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTUMN LEAVES NURSING HOME below.

NPI Profile for
MAGNOLIA HEALTHCARE, INC.

NPI Number
1164510475
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAGNOLIA HEALTHCARE, INC.
Doing Business As (dba): AUTUMN LEAVES NURSING HOME
Primary location
570 SOLOMON ST
GREENVILLE, MS 38703-2771
Phone: (662) 335-5863 Fax: (662) 335-5874
Mailing address
PO BOX 40018
BATON ROUGE, LA 70835-0018
Phone: (225) 753-0864 Fax: (225) 753-0948
Organization Subpart
No
Authorized Official
RICHARD DASPIT
CEO
Phone: (225) 906-4644
Updated
Identifiers

Identifiers for AUTUMN LEAVES NURSING HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS220307
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
MS 494

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.