Active NPI
Durant Healthcare LLC
Doing business as Holmes County Long Term Care
- Skilled Nursing Facility
- Durant, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 00220267
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220267 | Medicaid | MS |
Other names 1
- Holmes County Long Term Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 - Durant
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Apr 18, 2011
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Trend Consultants
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D0651824 | Durant Healthcare, LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adp of the SNF | Oct 1, 2018 | ||
| Lori Warnock | Corporate Director | Jan 27, 2022 | 100% |
| Adp of the SNF | Jan 27, 2021 | ||
| Charles B Kelly | 5% Or Greater Direct Ownership Interest | Jan 1, 2011 | |
| Operational/Managerial Control | Sep 1, 2013 | ||
| Adp of the SNF | Nov 3, 2021 | ||
| 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.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1124097191
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.