Active NPI
CLC of Biloxi, LLC
- Skilled Nursing Facility
- Biloxi, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 462
- Legal business name
- CLC OF BILOXI, LLC
- Practice address
- 2279 Atkinson Rd
Biloxi, MS 39531-2209 - Phone
- (228) 388-1805
- Fax
- (228) 388-9617
- NPI assigned
- Oct 24, 2005
- 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
- Mr. Douglas M. Wright Jr.
- Title
- Managing Member
- Phone
- (662) 680-3148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 462 | MS | Primary |
Addresses
Primary practice location
2279 Atkinson Rd
Biloxi, MS 39531-2209
Mailing address
2279 Atkinson Rd
Biloxi, MS 39531-2209
Phone (228) 388-1805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230182 | Medicaid | MS |
Other names 1
- The Pillars of Biloxi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080312000567 | MS | Part A Provider - Skilled Nursing Facility | 2860577087 | Practice locations: Biloxi, MS |
Skilled nursing facility certification: CCN 255093
- Legal name
- CLC OF BILOXI LLC
- Doing business as
- THE PILLARS OF BILOXI
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 24, 1985
- Last certification
- Apr 4, 2024
- Beds
- 180
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Community Eldercare Services
- Organization structure
- LLC
- Incorporated
- Mar 20, 2000 in MS
- Enrollment address
- 2279 Atkinson Rd
The Pillars of Biloxi
Biloxi, MS 39531-2209 - Nursing home name
- THE PILLARS OF BILOXI
- Affiliated entity
- COMMUNITY ELDERCARE SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Pillars of Biloxi
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 24, 1985
- Medicare certification status
- Active
- Certified beds
- 180
- Chain
- Community Eldercare Services
- Penalties (3 years)
- 4
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 |
|---|---|---|---|
| Community Living Centers, LLC | 5% Or Greater Direct Ownership Interest | Mar 20, 2000 | 100% |
| Adp of the SNF | Jan 1, 2026 | ||
| Community Eldercare Services, LLC | Operational/Managerial Control | Apr 1, 2000 | 100% |
| Adp of the SNF | Jan 1, 2026 | ||
| Rick D Hoover | Operational/Managerial Control | Mar 6, 2023 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Douglas Wright | 5% Or Greater Direct Ownership Interest | Apr 1, 2000 | |
| 5% Or Greater Indirect Ownership Interest | Mar 24, 2000 | 100% | |
| Operational/Managerial Control | Mar 24, 2000 | ||
| Lana Aultman | Operational/Managerial Control | Apr 15, 2025 | |
| Adp of the SNF | Apr 15, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Gautier, MS
- NPI 1962493577
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Booneville, MS
- NPI 1447240122
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Bruce, MS
- NPI 1528249570
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Fulton, MS
- NPI 1912997651
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Iuka, MS
- NPI 1457341976
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Jackson, MS
- NPI 1689664765
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Laurel, MS
- NPI 1326038092
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Liberty, MS
- NPI 1912997685
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Ocean Springs, MS
- NPI 1841280294
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Pascagoula, MS
- NPI 1992795330
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Vaiden, MS
- NPI 1144210394
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- West Point, MS
- NPI 1093705527
Community Eldercare Services, LLC, Community Living Centers, LLC
-
- Skilled Nursing Facility
- Dresden, TN
- NPI 1336139088
Community Eldercare Services, LLC, Community Living Centers, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Gautier, MS
- NPI 1962493577
Affiliated clinicians 1
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": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465776000000",
"number": "1295725083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2279 ATKINSON RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312209",
"telephone_number": "228-388-1805",
"fax_number": "228-388-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 ATKINSON RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312209",
"telephone_number": "228-388-1805",
"fax_number": "228-388-9617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLC OF BILOXI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2016-06-13",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "662-680-3148",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0230182",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pillars of Biloxi",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.