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Jefferson County Nursing Home

Skilled Nursing Facility in Fayette, MS · enumerated 2005 · authorized official Montina Bolton, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184611741

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Registry record

Entity type Organization (Type 2)
Legal business name Jefferson County Nursing Home
Practice address 910 Main St, Fayette, MS, 39069
Phone (601) 786-3888
Fax (601) 786-9400
Enumeration date Sep 29, 2005
Last updated in NPPES Apr 15, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 711 (MS) Primary

Authorized official

Name Montina Bolton
Title Administrator
Phone (601) 786-3888

Other identifiers

Identifier Type State Issuer
00770618 Medicaid MS -
00220117 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jefferson County Nursing Home?
NPPES lists Montina Bolton (Administrator) as the authorized official for this organization.
What is the NPI number for Jefferson County Nursing Home?
The NPI for Jefferson County Nursing Home is 1184611741, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-15.