340 Desoto Avenue Ext Operations, LLC
NPI 1932856531 · Skilled Nursing Facility · Clarksdale, MS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
340 Desoto Avenue Ext Operations, LLC is a Skilled Nursing Facility organization in Clarksdale, MS (NPI 1932856531).
Provider details
- NPI number
- 1932856531
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Lehner, Managher(770) 698-9040
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Greenbough Health and Rehabilitation Center
- Doing business as
- Greenbough Health and Rehabilitation Center
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is 340 Desoto Avenue Ext Operations, LLC's NPI number?
- 340 Desoto Avenue Ext Operations, LLC's National Provider Identifier (NPI) is 1932856531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 340 Desoto Avenue Ext Operations, LLC?
- 340 Desoto Avenue Ext Operations, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 340 Desoto Avenue Ext Operations, LLC located?
- 340 Desoto Avenue Ext Operations, LLC's practice location on file with NPPES is 340 Desoto Avenue Ext, Clarksdale, MS 38614-2814.
- What is 340 Desoto Avenue Ext Operations, LLC's phone number?
- The practice phone number listed in the NPPES registry for 340 Desoto Avenue Ext Operations, LLC is (253) 278-2258.
- Does 340 Desoto Avenue Ext Operations, LLC accept Medicare?
- 340 Desoto Avenue Ext Operations, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 340 Desoto Avenue Ext Operations, LLC?
- The authorized official listed on 340 Desoto Avenue Ext Operations, LLC's NPPES record is Tim Lehner, Managher. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 340 Desoto Avenue Ext Operations, LLC's NPI active?
- Yes — 340 Desoto Avenue Ext Operations, LLC's NPI (1932856531) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.