Pecan Grove
Nursing Facility/Intermediate Care Facility
About Pecan Grove
Pecan Grove is a healthcare organization providing Nursing Facility/Intermediate Care Facility services, registered under National Provider Identifier (NPI) number 1205904604. The authorized official for Pecan Grove is SUZIE LASSITER.
The organization is headquartered at 1101 HIGHWAY 11 S, Ellisville, Mississippi 39437. The main office can be reached at (601) 477-9384. Pecan Grove has been NPI-registered since 2006.
Locations & Contact
Primary Location
- Address
- 1101 HIGHWAY 11 S
- City
- Ellisville
- State
- Mississippi
- ZIP
- 39437-4443
- Phone
- (601) 477-9384
- Fax
- (601) 477-5700
Authorized Official
- Name
- SUZIE LASSITER
Mailing Address
- Address
- 1101 HIGHWAY 11 S
- City
- ELLISVILLE
- State
- MS
- ZIP
- 394374443
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Classification
- Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Pecan Grove's NPI number?
What does Pecan Grove specialize in?
Where is Pecan Grove located?
Does Pecan Grove accept Medicare?
Does Pecan Grove offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Pecan Grove holds NPI 1205904604, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.