Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Hattiesburg Convalescent Home, Inc

Organization Pharmacist · NPI 1366584708

Hattiesburg Convalescent Home, Inc is a Pharmacist in Hattiesburg, Mississippi. Medicare rates this nursing home 3 out of 5. Licensed in Mississippi.

CMS rating
3 of 5
Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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CMS quality rating

3 out of 5 — official nursing home rating from CMS Care Compare (CCN 255321)
Health inspection4.0 / 5
Staffing3.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Partnership

Practice location Address checks out

514 Bay St
Hattiesburg, MS 39401-3933
Phone: (601) 544-4230
Fax: (601) 582-2480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0017704.1 (MS)
Skilled Nursing Facility Taxonomy 314000000X · Licence 25 (MS)

Record details

NPI number1366584708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jewell McMahan — Administrator · (601) 544-4230
Other names Hattiesburg Convalescent Center
NPI enumeratedFebruary 13, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address514 Bay St, Hattiesburg, MS 39401-3933

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