Organization Active NPI

Heritage Manor of Slidell LLC

Doing business as Heritage Manor of Slidell

  • Skilled Nursing Facility
  • Slidell, LA
National Provider Identifier
1144362872
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
925 Issued in LA
Legal business name
HERITAGE MANOR OF SLIDELL LLC
Doing business as
Heritage Manor of Slidell
Practice address
106 Medical Center Dr
Slidell, LA 70461-5575
Phone
(985) 643-0307
Fax
(985) 643-2445
NPI assigned
Feb 12, 2007
Last updated
Nov 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Mrs. Toni Parkinson
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 925 LA Primary

Addresses

Primary practice location

106 Medical Center Dr
Slidell, LA 70461-5575

Mailing address

106 Medical Center Dr
Slidell, LA 70461-5575
Phone (985) 643-0307

Other identifiers 2

IdentifierTypeStateIssuer
385H00000XOtherLARESPITE CARE
1517712MedicaidLA

Other names 1

  • Heritage Manor of Slidell Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090123000588 LA Part A Provider - Skilled Nursing Facility 4486718178 Practice locations: Slidell, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144362872. Details of each certification follow.

Skilled nursing facility certification: CCN 195220

Legal name
HERITAGE MANOR OF SLIDELL LLC
Doing business as
HERITAGE MANOR OF SLIDELL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 9, 1988
Last certification
Aug 7, 2024
Beds
120
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medico LLC
Organization structure
LLCProprietary
Enrollment address
106 Medical Center Dr
Slidell, LA 70461-5575
Nursing home name
HERITAGE MANOR OF SLIDELL
Affiliated entity
THE BEEBE FAMILY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Manor of SlidellCCN 195220 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 9, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120100.9 residents per day on average
Chain
The Beebe Family48 facilities in the chain
Penalties (3 years)
1Fines totaling $11,333

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
19D0671145Heritage Manor of Slidell106 Medical Center Drive, Slidell, LA 70461Certificate 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
Krystle Miller Individual Operational/Managerial Control Jul 21, 2021
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS For-profit Adp of the SNF Jan 1, 2025
Indirect Ownership Interest Nov 1, 2013 33.34%
Account Management Services Inc Organization, Ridgeland, MS Corporation, For-profit Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Felicias 2016 Fam TR No 2 Organization, Ridgeland, MS For-profit Adp of the SNF Jan 1, 2025
Elton G Beebe Individual Operational/Managerial Control Jan 1, 2009
Indirect Ownership Interest Jan 1, 2009 33.33%
Alisons 2016 Fam TR No 2 Organization, Ridgeland, MS For-profit Adp of the SNF Jan 1, 2025
Verdin Enterprises, LLC Organization, Lisbon, LA LLC, Consulting firm, For-profit Adp of the SNF Nov 1, 2021
Aria Care Management LLC Organization, Overland Park, KS LLC, Consulting firm, For-profit Adp of the SNF Dec 1, 2022
Louisiana Extended Care Centers LLC Organization, Ridgeland, MS LLC, For-profit Adp of the SNF Jan 1, 2025
Toni H Parkinson Individual Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation, For-profit Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Michael David Casey Individual Operational/Managerial Control Jan 1, 2009
Adp of the SNF Jan 1, 2009
Administrative Systems Inc Organization, Ridgeland, MS Corporation, For-profit Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Beebe 2013 Childrens TR NG Organization, Ridgeland, MS For-profit Adp of the SNF Jan 1, 2025
David W Stallard Individual Operational/Managerial Control Jan 1, 2009
Adp of the SNF Jan 1, 2009
Bobby L Beebe Individual Operational/Managerial ControlField Manager Through Pathaway S Dec 11, 2021
Adp of the SNF Dec 11, 2021
Providence Care LLC Organization, Mandeville, LA LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2009
Adp of the SNF Jan 1, 2009
Bolden Bankston Individual Operational/Managerial Control Mar 15, 2001
Adp of the SNF Mar 15, 2001
Tristar Rehab Inc Organization, Homosassa, FL Corporation, For-profit Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Medical Center Drive Properties LLC Organization, Ridgeland, MS LLC, For-profit Adp of the SNF Jan 1, 2025
Pathway South LLC Organization, Ridgeland, MS LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2013 50%
Adp of the SNF Jan 1, 2013
Medico LLC Organization, Ridgeland, MS LLC, For-profit Operational/Managerial Control Jan 1, 2009
Direct Ownership Interest Jan 1, 2009 100%
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS For-profit Indirect Ownership Interest Nov 1, 2013 33.33%
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC, Consulting firm Adp of the SNF Jun 1, 2009
LTC Him Consulting Inc Organization, Church Point, LA Corporation, Consulting firm, For-profit Adp of the SNF Jan 1, 2009

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 56

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

View all 56

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1144362872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615575",
            "telephone_number": "985-643-0307",
            "fax_number": "985-643-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615575",
            "telephone_number": "985-643-0307",
            "fax_number": "985-643-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MANOR OF SLIDELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "PARKINSON",
        "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": "LA",
            "license": "925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE CARE",
            "identifier": "385H00000X",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517712",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Manor of Slidell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.