Leake Extended Care Facility
Leake Extended Care Facility is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Carthage, MS, holding Type 2 (organization) NPI 1750456034 since 2006. The authorized official on file is Sandy Goolsby, Accountant Business Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1750456034 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Leake Extended Care Facility |
| Practice address | 310 ELLIS ST, Carthage, MS, 39051 |
| Phone | 6012671100 |
| Fax | 6012671211 |
| Enumeration date | 2006-11-21 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Sandy Goolsby |
|---|---|
| Title | Accountant Business Office Manager |
| Phone | 6012671100 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | 214 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230186 | Medicaid | MS | — |
Copy-ready billing details
Provider: Leake Extended Care Facility NPI: 1750456034 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 310 ELLIS ST, Carthage, MS, 39051
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831174804 | Leake County Board of Trustees | Organization | Critical Access Hospital | Carthage, MS |
| 1073545554 | Evan Pickus | Individual | Plastic Surgery Physician | Carthage, MS |
Verify this record
Cross-check NPI 1750456034 against the authoritative CMS record: view Leake Extended Care Facility on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Leake Extended Care Facility?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2020-08-22.