Organization Active NPI

Poplar Springs Nursing Center LLC

  • Skilled Nursing Facility
  • Meridian, MS
National Provider Identifier
1265416986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
80 Issued in MS
Legal business name
POPLAR SPRINGS NURSING CENTER LLC
Practice address
6615 Poplar Springs Loop
Meridian, MS 39305-9250
Phone
(601) 483-5256
Fax
(601) 483-7081
NPI assigned
Dec 6, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 80 MS Primary

Addresses

Primary practice location

6615 Poplar Springs Loop
Meridian, MS 39305-9250

Mailing address

6615 Poplar Springs Loop
Meridian, MS 39305-9250
Phone (601) 483-5256

Other identifiers 1

IdentifierTypeStateIssuer
01202867MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000730 MS Part A Provider - Skilled Nursing Facility 6800833757 Practice locations: Meridian, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265416986. Details of each certification follow.

Skilled nursing facility certification: CCN 255315

Legal name
POPLAR SPRINGS NURSING CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 10, 2005
Last certification
Aug 29, 2024
Beds
89
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Trend Consultants LLC
Organization structure
LLCProprietary
Incorporated
Dec 1, 2004 in MS
Enrollment address
6615 Poplar Springs Drive
Meridian, MS 39305-1186
Nursing home name
POPLAR SPRINGS NURSING CTR, LLC
Affiliated entity
TREND CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Poplar Springs Nursing Ctr, LLCCCN 255315 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 10, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8980.0 residents per day on average
Chain
Trend Consultants15 facilities in the chain

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
25D0997689Poplar Springs Nursing Center, LLC6615 Poplar Springs Drive, Meridian, MS 39305Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

125 Fountains Blvd
Madison, MS 39110

6615 Poplar Springs Loop
Meridian, MS 39305
Phone (601) 483-5256

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
Trend Consultants LLC Organization, Madison, MS LLC Operational/Managerial Control Apr 25, 2014 100%
Adp of the SNF Oct 21, 2024
Lori Warnock Individual Corporate DirectorDirector of Finance Jan 27, 2021 100%
Adp of the SNF Jan 27, 2021
Charles B Kelly Individual 5% Or Greater Direct Ownership Interest Dec 1, 2004 99%
Operational/Managerial Control Jan 20, 2025
Adp of the SNF Jan 20, 2025
Direct Ownership Interest Dec 1, 2004 99%
Todd Larue Fulcher Individual Adp of the SNF Apr 17, 2025
Franklin Land Individual Operational/Managerial Control Sep 30, 2028
Adp of the SNF Sep 10, 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 6

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

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": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265416986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 POPLAR SPRINGS LOOP",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059250",
            "telephone_number": "601-483-5256",
            "fax_number": "601-483-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 POPLAR SPRINGS LOOP",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393059250",
            "telephone_number": "601-483-5256",
            "fax_number": "601-483-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLAR SPRINGS NURSING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "L",
        "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": "80",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01202867",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.