3716 HIGHWAY 39 NORTH OPCO LLC – NPI #1306654355
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.

3716 HIGHWAY 39 NORTH OPCO LLC is a skilled nursing facility (SNF) located in MERIDIAN, MS. NPPES has assigned the NPI number 1306654355 to 3716 HIGHWAY 39 NORTH OPCO LLC on December 23, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Mar 10, 2025. 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 3716 HIGHWAY 39 NORTH OPCO LLC below.

NPI Profile for
3716 HIGHWAY 39 NORTH OPCO LLC

NPI Number
1306654355
Enumeration Date

(more than a year 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
3716 HIGHWAY 39 NORTH OPCO LLC
Primary location
3716 HIGHWAY 39 N
MERIDIAN, MS 39301-1013
Phone: (601) 482-7164 Fax: (601) 482-5305
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY HOBACK
MANAGER
Phone: (770) 698-9040
Updated
Certification Date
Mar 10, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for 3716 HIGHWAY 39 NORTH OPCO LLC

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
medicaidMS000230080
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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
URN:OID:2.16.840.1.113883.3.5042
Content Type
Affiliation
Y
Endpoint Location
850 CONCOURSE PKWY S STE 250,
MAITLAND, FL 77025-1669