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

Leake Extended Care Facility

Organization Nursing Facility/Intermediate Care Facility · NPI 1750456034

Leake Extended Care Facility is a Nursing Facility/Intermediate Care Facility in Carthage, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

310 Ellis St
Carthage, MS 39051-3809
Phone: (601) 267-1100
Fax: (601) 267-1211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 214 (MS)

Record details

NPI number1750456034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Goolsby — Accountant Business Office Manager · (601) 267-1100
NPI enumeratedNovember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address310 Ellis St, Carthage, MS 39051-3809

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