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Desoto Healthcare Inc

NPI 1497736813ActiveOrganization· Skilled Nursing Facility· Southaven, MS

Skilled Nursing Facility in Southaven, Mississippi, registered in NPPES in November 2005. The authorized official on file is Brent Tice, Vice President. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1497736813
StatusActive
Entity typeOrganization
NPI issuedNov 11, 2005
Last updated in NPPESJan 15, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X771MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (MS)

Medicare sources and data years

Other Skilled Nursing Facility providers in Southaven

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