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

Hattiesburg Convalescent Home, Inc

Organization Skilled Nursing Facility · NPI 1922096866

Hattiesburg Convalescent Home, Inc is a Skilled Nursing Facility in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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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

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

Record details

NPI number1922096866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jewell McMahan — Administrator · (601) 544-4230
Other names Hattiesburg Convalescent Center
NPI enumeratedOctober 13, 2005
Last updated in NPPESAugust 22, 2020
Mailing address514 Bay St, Hattiesburg, MS 39401-3933

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