JC
JEFFERSON COUNTY NURSING HOME
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
FAYETTE, MS
Licensed since
2005
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1184611741
CMS Certification Number (CCN)255164
Agency details
Avg residents / day46.3
OwnershipGovernment - County
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameMONTINA BOLTON
TitleADMINISTRATOR
Phone6017863888
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Source: NPI Registry · Last refreshed June 24, 2026