Organization Active NPI

Durant Healthcare LLC

Doing business as Holmes County Long Term Care

  • Skilled Nursing Facility
  • Durant, MS
National Provider Identifier
1134420284
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
00220267 Issued in MS
Legal business name
DURANT HEALTHCARE LLC
Doing business as
Holmes County Long Term Care
Practice address
15481 Bowling Green Rd
Durant, MS 39063-3565
Phone
(662) 653-4106
Fax
(662) 653-3940
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Mrs. Tina Ellis
Title
Comptroller
Phone
(601) 304-0980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 00220267 MS Primary

Addresses

Primary practice location

15481 Bowling Green Rd
Durant, MS 39063-3565

Mailing address

15481 Bowling Green Rd
Durant, MS 39063-3565
Phone (662) 653-4106

Other identifiers 1

IdentifierTypeStateIssuer
00220267MedicaidMS

Other names 1

  • Holmes County Long Term Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110226000107 MS Part A Provider - Skilled Nursing Facility 0749461507 Practice locations: Durant, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1134420284. Details of each certification follow.

Skilled nursing facility certification: CCN 255332

Legal name
DURANT HEALTHCARE LLC
Doing business as
HOLMES COUNTY LONG TERM CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 18, 2011
Last certification
Jun 27, 2024
Beds
80
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Jan 1, 2011 in MS
Enrollment address
15481 Bowling Green Road
Holmes County Long Term Care
Durant, MS 39063-3565
Nursing home name
HOLMES COUNTY LONG TERM CARE CENTER - DURANT
Affiliated entity
TREND CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Holmes County Long Term Care Center - DurantCCN 255332 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 18, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8071.5 residents per day on average
Chain
Trend Consultants15 facilities in the chain
Penalties (3 years)
2Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0651824Durant Healthcare, LLC15481 Bowling Green Road, Durant, MS 39063Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Individual Adp of the SNF Oct 1, 2018
Lori Warnock Individual Corporate DirectorDirector of Finance Jan 27, 2022 100%
Adp of the SNF Jan 27, 2021
Charles B Kelly Individual 5% Or Greater Direct Ownership Interest Jan 1, 2011
Operational/Managerial Control Sep 1, 2013
Individual Adp of the SNF Nov 3, 2021
Individual Adp of the SNF Oct 7, 2025

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1134420284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15481 BOWLING GREEN RD",
            "city": "DURANT",
            "state": "MS",
            "postal_code": "390633565",
            "telephone_number": "662-653-4106",
            "fax_number": "662-653-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15481 BOWLING GREEN RD",
            "city": "DURANT",
            "state": "MS",
            "postal_code": "390633565",
            "telephone_number": "662-653-4106",
            "fax_number": "662-653-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANT HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "601-304-0980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "00220267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220267",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes County Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durant, MS

Sources for this page

Verify at the official NPI Registry.