Heritage House Nursing Center
LBN: Community Care Center Of Vicksburg Llc
Heritage House Nursing Center is an health care organization with primary practice located at 3103 Wisconsin Ave , Vicksburg MS 39180-4825. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Community Care Center Of Vicksburg Llc can be contacted via phone (601) 638-1514, or through Parkinson, Toni via phone (601) 709-1408.
Contact Information
Primary practice address
3103 Wisconsin Ave
Vicksburg MS 39180-4825
Phone: (601) 638-1514
Fax: (601) 638-8738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 54 | Mississippi |
Profile Details
| NPI number | 1225086374 |
|---|---|
| LBN Legal business name | Community Care Center Of Vicksburg Llc |
| DBA Doing business as | Heritage House Nursing Center |
| Authorized official | Parkinson, Toni |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 30th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225086374 | NPPES |
| Mississippi | Other | 80405 | BLUE CROSS BLUE SHIELD |
| Mississippi | MEDICAID | 00230137 | BLUE CROSS BLUE SHIELD |
Popular Providers
-
Amana Rose ,Llc
225 N Sowers Rd , Irving TX 75061-7449 -
Potomac Valley Nursing Facilities Inc.
1235 Potomac Valley Rd , Rockville MD 20850-2757 -
Covenant Health & Rehab Of Vicksburg, Lp
2850 Porters Chapel Rd , Vicksburg MS 39180-1805 -
Sunshine Terrace Foundation, Inc
248 W 300 N , Logan UT 84321-3810 -
Bartlesville Care Center Inc.
3434 Kentucky Pl , Bartlesville OK 74006-2339 -
Health Care Reliance Llc D/B/A Ellis Manor
210 George St , Hartford CT 06114-2823 -
Conifer Care,Inc.
Rr 2 , Hughes Springs TX 75656-9812 -
Ocala Healthcare Associates, Llp
9848 Sw 110Th St , Ocala FL 34481-7651