Healthcare Provider Details

I. General information

NPI: 1427575505
Provider Name (Legal Business Name): TREND HEALTH AND REHAB OF CARTHAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 E. FRANKLIN STREET
CARTHAGE MS
39051
US

IV. Provider business mailing address

1101 E FRANKLIN ST
CARTHAGE MS
39051-3603
US

V. Phone/Fax

Practice location:
  • Phone: 601-267-4551
  • Fax: 601-267-7242
Mailing address:
  • Phone: 601-267-4551
  • Fax: 601-267-7242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. TINA ELLIS
Title or Position: COMPTROLLER
Credential:
Phone: 601-499-0899