OrganizationActive
Shady Lawn, LLC
NPI 1184613143 · Skilled Nursing Facility · Vicksburg, MS
Shady Lawn, LLC is a Skilled Nursing Facility organization in Vicksburg, MS (NPI 1184613143).
Provider details
- NPI number
- 1184613143
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Vanguard Healthcare, LLC
- Organization subpart
- Yes
- Authorized official
- William Orand, Ceo(615) 250-7100
- License
- 182 (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
20 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
60 Shady Lawn Pl
Vicksburg, MS 39180
Phone: (601) 636-1448
Fax: (601) 636-8811
Street-level locationGet directions
Mailing address
9020 Overlook Blvd Ste 202
Brentwood, TN 37027-2755
Other names (DBA / former)
- Doing business as
- Shady Lawn Health and Rehabilitation
- Doing business as
- Shady Lawn Health and Rehabilitation
Registry dates
- Enumerated
- 2005-10-20
- Last updated
- 2018-05-24
Frequently asked questions
- What is Shady Lawn, LLC's NPI number?
- Shady Lawn, LLC's National Provider Identifier (NPI) is 1184613143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Lawn, LLC?
- Shady Lawn, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Shady Lawn, LLC located?
- Shady Lawn, LLC's practice location on file with NPPES is 60 Shady Lawn Pl, Vicksburg, MS 39180.
- What is Shady Lawn, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shady Lawn, LLC is (601) 636-1448.
- Who is the authorized official for Shady Lawn, LLC?
- The authorized official listed on Shady Lawn, LLC's NPPES record is William Orand, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Lawn, LLC's NPI active?
- Yes — Shady Lawn, LLC's NPI (1184613143) is active in the NPPES registry as of the last update on 2018-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.