Community Care Center of Aberdeen

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

561 Issued in MS

Legal business name

COMMUNITY CARE CENTER OF ABERDEEN

Doing business as

Care Center of Aberdeen

Practice address

505 Jackson St
Aberdeen, MS 39730-3349

Phone

(662) 369-6431

Fax

(662) 369-6473

NPI assigned

May 15, 2007

Last updated

Apr 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David W Stallard

Title

Provider Representative

Phone

(601) 956-8884

Specialties & licenses 1

Addresses

Other names 1

• Care Center of Aberdeen Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063628451. Details of each certification follow.

• CCN 255097 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 255097

Legal name

COMMUNITY CARE CENTER OF ABERDEEN

Doing business as

CARE CENTER OF ABERDEEN

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1987

Last certification

May 15, 2025

Beds

105

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

505 Jackson St
Aberdeen, MS 39730-3349

Nursing home name

CARE CENTER OF ABERDEEN

Listed as

Care Center of AberdeenCCN 255097 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 1, 1987

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10590.2 residents per day on average

Penalties (3 years)

1Fines totaling $10,358

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kevin Curtis Hayes, M.D.

  • Family Medicine Physician
  • Aberdeen, MS
  • NPI 1154364636

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 51

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• American Legacy Properties LLC

  dba Legacy Manor Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Greenville, MS
  • NPI 1447208228

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Attala Community Care Center LLC

  dba Attala County Nursing Center

  • Skilled Nursing Facility
  • Kosciusko, MS
  • NPI 1215985429

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Care Givers, LLC

  dba Clarksdale Nursing Center

  • Skilled Nursing Facility
  • Clarksdale, MS
  • NPI 1740238930

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc

  CMS ownership
• Collins Community Care Center LLC

  dba Landmark of Collins

  • Skilled Nursing Facility
  • Collins, MS
  • NPI 1215985734

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Columbia Community Care Center LLC

  dba The Myrtles Nursing Center

  • Skilled Nursing Facility
  • Columbia, MS
  • NPI 1467400242

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Grenada, LLC

  dba Grenada Living Center

  • Skilled Nursing Facility
  • Grenada, MS
  • NPI 1477501922

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Laurel, LLC

  dba Care Center of Laurel

  • Skilled Nursing Facility
  • Laurel, MS
  • NPI 1518094358

  Account Management Services Inc, Administrative Systems Inc, Jefferson Boyd and Jojuana Summit TR, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Vicksburg LLC

  dba Heritage House Nursing Center

  • Skilled Nursing Facility
  • Vicksburg, MS
  • NPI 1225086374

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Copiah Community Care Center LLC

  dba Copiah Living Center

  • Skilled Nursing Facility
  • Crystal Springs, MS
  • NPI 1720036916

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Desoto Community Care Center LLC

  dba Landmark of Desoto

  • Skilled Nursing Facility
  • Horn Lake, MS
  • NPI 1831147677

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Gulfport Healthcare LLC

  dba Gulfport Care Center

  • Skilled Nursing Facility
  • Gulfport, MS
  • NPI 1538582143

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Tristar Rehab Inc

  CMS ownership
• Humphreys Community Care Center LLC

  dba Humphreys County Nursing Center

  • Skilled Nursing Facility
  • Belzoni, MS
  • NPI 1891743274

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Curtis Hayes, M.D.

  • Family Medicine Physician
  • Aberdeen, MS
  • NPI 1154364636
  NPD (past)
• Adelaide Frances Henderson, MD

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1841289279
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kevin Curtis Hayes, M.D.

  • Family Medicine Physician
  • Aberdeen, MS
  • NPI 1154364636

  Nursing home

  Care Compare affiliation
• Adelaide Frances Henderson, MD

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1841289279

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1063628451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 JACKSON ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303349",
            "telephone_number": "662-369-6431",
            "fax_number": "662-369-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JACKSON ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303349",
            "telephone_number": "662-369-6431",
            "fax_number": "662-369-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF ABERDEEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "STALLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROVIDER REPRESENTATIVE",
        "authorized_official_telephone_number": "601-956-8884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Center of Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey R Chandler, CFNP
• Cheyenne's Total Care/Transporation
• Child & Family Services, LLC
• Clay County Medical Corporation (North Mississippi Surgery Clinic- Aberdeen)
• Holly Elizabeth Colbert
• Thelma Cox-Shelton, FNP-BC
• Creative Healing Counseling Services, LLC
• Eunice Crump, PHYSICAL THERAPIST
• Lateisha Shavonte Cunningham
• Curries Family Care Pharmacy of Aberdeen,Inc

• Skilled Nursing Facility in Aberdeen, MS
• Providers in Aberdeen, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.