OrganizationActive
South Mississippi Regional Center
NPI 1033143284 · Intellectual Disabilities Intermediate Care Facility · Long Beach, MS
Provider details
- NPI number
- 1033143284
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Pamela Baker, Director of Facility(228) 867-1300
- License
- 311 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1170 W Railroad St
Long Beach, MS 39560-4106
Phone: (228) 867-1300
Fax: (228) 214-5563
Street-level locationGet directions
Mailing address
1170 W Railroad St
Long Beach, MS 39560-4106
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.