Active NPI
Monticello Community Care Center LLC
Doing business as Lawrence County Nursing Center
- Skilled Nursing Facility
- Monticello, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 459
- Legal business name
- MONTICELLO COMMUNITY CARE CENTER LLC
- Doing business as
- Lawrence County Nursing Center
- Practice address
- 700 Jefferson St.
Monticello, MS 39654-0398 - Phone
- (601) 587-2593
- Fax
- (601) 587-5352
- NPI assigned
- May 5, 2006
- Last updated
- Apr 30, 2013
- 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. Toni Parkison
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 459 | MS | Primary |
Addresses
Primary practice location
700 Jefferson St.
Monticello, MS 39654-0398
Mailing address
700 Jefferson St.
Monticello, MS 39654-0398
Phone (601) 587-2593
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00230110 | Medicaid | MS | |
| 80541 | Other | MS | BLUE CROSS BLUE SHIELD |
Other names 1
- Lawrence County Nursing Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070802000633 | MS | Part A Provider - Skilled Nursing Facility | 7618068784 | Practice locations: Monticello, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1144278565. Details of each certification follow.
Skilled nursing facility certification: CCN 255214
- Legal name
- MONTICELLO COMMUNITY CARE CENTER, LLC
- Doing business as
- LAWRENCE COUNTY NURSING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1996
- Last certification
- Apr 2, 2025
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 700 Jefferson St
Monticello, MS 39654-9580 - Nursing home name
- LAWRENCE CO NURSING CENTER
- Affiliated entity
- THE BEEBE FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Lawrence Co Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1996
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- The Beebe Family
- 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 |
|---|---|---|---|
| 25D0320076 | Lawrence County Nursing Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Elton G Beebe Sr Irrv Grndchildrens TR | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 16% |
| QSST TR for Alison Beebe Sadler Danos and Her Descendants | 5% Or Greater Indirect Ownership Interest | Nov 1, 2013 | 28.34% |
| Adp of the SNF | Jan 1, 2025 | ||
| Medico LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 85% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Account Management Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Regional Care LLC | Operational/Managerial Control | Jan 1, 2014 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Elton G Beebe | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Linda Maynor | Adp of the SNF | Jan 1, 2011 | |
| Regional Services, Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 100% |
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Timothy Duncan Estes | Operational/Managerial Control | Apr 1, 2021 | |
| Adp of the SNF | Apr 1, 2021 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Louisiana Extended Care Centers LLC | Adp of the SNF | Jan 1, 2025 | |
| Toni H Parkinson | Corporate Officer | Jul 1, 2011 | |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Provider Professional Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Nutrition Systems Consulting Inc | Adp of the SNF | Jan 31, 2008 | |
| Administrative Systems Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| David W Stallard | 5% Or Greater Direct Ownership Interest | Mar 28, 1997 | 100% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Bobby L Beebe | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 100% |
| Corporate Officer | Jan 1, 2010 | ||
| Operational/Managerial Control | Jan 1, 2023 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Providence Care LLC | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Jeffery Lamar Phillips | Operational/Managerial Control | Mar 16, 2015 | |
| Adp of the SNF | Mar 16, 2015 | ||
| Tristar Rehab Inc | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Pathway Management Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 75% |
| QSST TR for Felicia Beebe Stallard and Her Descendants | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Adp of the SNF | Jan 1, 2025 | ||
| Lacey Bates | Operational/Managerial Control | Aug 4, 2022 | |
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Mar 28, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Jackson, MS
- NPI 1285746511
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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
-
dba Attala County Nursing Center
- Skilled Nursing Facility
- Kosciusko, MS
- NPI 1215985429
Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Medico LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia
-
dba Clarksdale Nursing Center
- Skilled Nursing Facility
- Clarksdale, MS
- NPI 1740238930
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc
-
dba Landmark of Collins
- Skilled Nursing Facility
- Collins, MS
- NPI 1215985734
Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Medico LLC, Pathway Management Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descenda
-
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
-
dba Care Center of Aberdeen
- Skilled Nursing Facility
- Aberdeen, MS
- NPI 1063628451
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
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
-
dba Care Center of Laurel
- Skilled Nursing Facility
- Laurel, MS
- NPI 1518094358
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Heritage House Nursing Center
- Skilled Nursing Facility
- Vicksburg, MS
- NPI 1225086374
Account Management Services Inc, Administrative Systems Inc, Medico LLC, Pathway Management Inc, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard
-
dba Copiah Living Center
- Skilled Nursing Facility
- Crystal Springs, MS
- NPI 1720036916
Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Medico LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia
-
dba Landmark of Desoto
- Skilled Nursing Facility
- Horn Lake, MS
- NPI 1831147677
Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Pathway Management Inc, Providence Care LLC, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Gulfport Care Center
- Skilled Nursing Facility
- Gulfport, MS
- NPI 1538582143
Account Management Services Inc, Administrative Systems Inc, Medico LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants, Reg
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.
-
- General Practice Physician
- Jackson, MS
- NPI 1285746511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367280000000",
"number": "1144278565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 JEFFERSON ST.",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "396540398",
"telephone_number": "601-587-2593",
"fax_number": "601-587-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 JEFFERSON ST.",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "396540398",
"telephone_number": "601-587-2593",
"fax_number": "601-587-5352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTICELLO COMMUNITY CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2013-04-30",
"status": "A",
"authorized_official_last_name": "PARKISON",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "601-709-1408",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "459",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00230110",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80541",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lawrence County Nursing Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monticello, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.