1530 Broad Avenue Operations, LLC
NPI 1306593900ActiveOrganization· Skilled Nursing Facility· Gulfport, MS
Skilled Nursing Facility in Gulfport, Mississippi, registered in NPPES in March 2022. The authorized official on file is Ashley Winkle, Llc Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1306593900 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2022 |
| Last updated in NPPES | Sep 23, 2026 |
| Certified by provider | Sep 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (MS) |
|---|
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