PEDIATRUST COLUMBUS LLC NPI 1639606940

NPI Information

  • NPI: 1639606940
  • Provider Name: PEDIATRUST COLUMBUS, LLC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • CLIA Number: 25D2125572
  • Address: 2213 5TH ST N
    COLUMBUS, MS
    ZIP 39705
  • Phone: (662) 570-1957

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NPI Details

PEDIATRUST COLUMBUS, LLC is a nursing care and pediatric skilled nursing facility in Columbus, MS. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. PEDIATRUST COLUMBUS, LLC NPI is 1639606940. The provider is registered as an organization entity type.

The provider's business location address is:

2213 5TH ST N
COLUMBUS, MS
ZIP 39705-211
Phone: (662) 570-1957
Fax: (662) 470-1035

The provider's authorized official is Leann Craig .
The authorized official title is Ceo and has the following contact phone number (225) 252-7633.

The CLIA number assigned to this NPI record is 25D2125572 - other - prescr ped extended care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, PediatricYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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