Community Care Center Of Vicksburg Llc - Vicksburg, MS

Community Care Center Of Vicksburg Llc

Skilled Nursing Facility in Vicksburg, Mississippi

NPI 1225086374

Community Care Center Of Vicksburg Llc is a Skilled Nursing Facility based in Vicksburg, MS. Community Care Center Of Vicksburg Llc practices in Vicksburg, MS. The NPI Number for Community Care Center Of Vicksburg Llc is 1225086374 and holds a License No. 54 (Mississippi).

The current practice location address for Community Care Center Of Vicksburg Llc is 3103 Wisconsin Ave, Vicksburg, MS and can be reached out via phone at 601-638-1514 and via fax at 601-638-8738.

Location: 3103 Wisconsin Ave, Vicksburg, MS, 39180-4825

NPI Number

1225086374

Provider Name

Community Care Center Of Vicksburg Llc

Credential

Provider Entity Type

Organization

Address

3103 Wisconsin Ave, Vicksburg, MS, 39180-4825

Phone Number

601-638-1514

Fax Number

601-638-8738

Provider Enumeration Date

05/04/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
80405	01	MS	BLUE CROSS BLUE SHIELD
00230137	05	MS

Address

3103 Wisconsin Ave

City

Vicksburg

State

Mississippi

Zip

39180-4825

Phone Number

601-638-1514

Fax Number

601-638-8738

Address

3103 Wisconsin Ave

City

Vicksburg

State

Mississippi

Zip

39180-4825

Phone Number

601-638-1514

Fax Number

601-638-8738

Type

Nursing & Custodial Care Facilities

Classification

Skilled Nursing Facility

Speciality

Taxonomy

314000000X

License No.

54 (Mississippi)

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.

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