Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pecan Grove

Q: What type of organization is Pecan Grove?

Pecan Grove is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).

Nursing Facility/Intermediate Care Facility in Ellisville, MS · enumerated 2006 · authorized official Suzie Lassiter, Director of Facility.

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

National Provider Identifier

1205904604

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Pecan Grove

Practice address 1101 Highway 11 S, Ellisville, MS, 39437

Phone (601) 477-9384

Fax (601) 477-5700

Enumeration date Dec 1, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 284 (MS) Primary

Authorized official

Name Suzie Lassiter

Title Director of Facility

Phone (601) 477-9384

Other identifiers

Identifier	Type	State	Issuer
00021847	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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Pecan Grove?

Pecan Grove is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.