Organization Active NPI

Monticello Community Care Center LLC

Doing business as Lawrence County Nursing Center

  • Skilled Nursing Facility
  • Monticello, MS
National Provider Identifier
1144278565
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
459 Issued in MS
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00230110MedicaidMS
80541OtherMSBLUE CROSS BLUE SHIELD

Other names 1

  • Lawrence County Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 255214 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6057.8 residents per day on average
Chain
The Beebe Family48 facilities in the chain
Penalties (3 years)
2Fines totaling $10,868

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
25D0320076Lawrence County Nursing Center700 South Jefferson St, Monticello, MS 39654Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Elton G Beebe Sr Irrv Grndchildrens TR Organization, Ridgeland, MS Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 16%
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.34%
Adp of the SNF Jan 1, 2025
Medico LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 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 Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Regional Care LLC Organization, Ridgeland, MS LLC, For-profit Operational/Managerial Control Jan 1, 2014
Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Elton G Beebe Individual 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 Organization, Water Valley, MS Consulting firm Adp of the SNF Jan 1, 2011
Regional Services, Inc Organization, Ridgeland, MS LLC, Owned by another organization or individual 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 Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2021
Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Louisiana Extended Care Centers LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Toni H Parkinson Individual Corporate OfficerPresident Jul 1, 2011
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Nutrition Systems Consulting Inc Organization, Ridgeland, MS Corporation Adp of the SNF Jan 31, 2008
Administrative Systems Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
David W Stallard Individual 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 Individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Corporate OfficerField Manager of SNF Through Reg Jan 1, 2010
Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Providence Care LLC Organization, Mandeville, LA LLC, For-profit Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Jeffery Lamar Phillips Individual Operational/Managerial Control Mar 16, 2015
Adp of the SNF Mar 16, 2015
Tristar Rehab Inc Organization, Homosassa, FL Corporation Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Pathway Management Inc Organization, Ridgeland, MS Corporation, For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2014 75%
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.33%
Adp of the SNF Jan 1, 2025
Lacey Bates Individual Operational/Managerial Control Aug 4, 2022
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA 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.

Facilities with the same owner 55

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

View all 55

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": "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

Verify at the official NPI Registry.