NPIMap

Organization Active NPI

Louisville Healthcare LLC

  • Skilled Nursing Facility
  • Louisville, MS
National Provider Identifier
1356587208
Registry record updated Dec 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
562 Issued in MS
Legal business name
LOUISVILLE HEALTHCARE LLC
Practice address
543 East Main Street
Louisville, MS 39339
Phone
(662) 773-8047
NPI assigned
Dec 24, 2008
Last updated
Dec 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2008

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 562 MS Primary

Addresses

Primary practice location

543 East Main Street
Louisville, MS 39339

Mailing address

323 Highland Blvd
Natchez, MS 39120
Phone (601) 304-0980

Other identifiers 1

IdentifierTypeStateIssuer
00230036MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090309000408 MS Part A Provider - Skilled Nursing Facility 0244396752 Practice locations: Louisville, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356587208. Details of each certification follow.

Skilled nursing facility certification: CCN 255096

Legal name
LOUISVILLE HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1987
Last certification
Apr 16, 2025
Beds
60
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Trend Consultants
Organization structure
LLCProprietary
Incorporated
Jan 1, 2009 in MS
Enrollment address
17461 E Main St
Louisville, MS 39339-2765
Nursing home name
LOUISVILLE HEALTHCARE LLC
Affiliated entity
TREND CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Louisville Healthcare LLCCCN 255096 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.6 residents per day on average
Chain
Trend Consultants15 facilities in the chain
Penalties (3 years)
1Fines totaling $8,788

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
25D0686053Louisville Healthcare LLC543 East Main St, Louisville, MS 39339Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2009
Operational/Managerial Control Jan 1, 2009
Adp of the SNF May 15, 2025
Lori Warnock Individual Operational/Managerial Control Jan 27, 2021
Adp of the SNF Feb 24, 2014
Charles B Kelly Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 99%
Operational/Managerial Control Jan 20, 2025
Adp of the SNF Jan 20, 2025
Direct Ownership Interest Jan 1, 2009
Individual Adp of the SNF Dec 14, 2021
Individual Adp of the SNF Oct 17, 2024

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.

Affiliated clinicians 4

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": "1230076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230076800000",
    "number": "1356587208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-304-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 EAST MAIN STREET",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "39339",
            "telephone_number": "662-773-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-24",
        "last_updated": "2008-12-24",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "LOUISE",
        "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": "562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230036",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.