CLC of Ripley, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000154 Issued in TN

Legal business name

CLC OF RIPLEY, LLC

Doing business as

Lauderdale Community Living Center

Practice address

215 Lackey LN
Ripley, TN 38063-1619

Phone

(731) 635-5100

Fax

(731) 635-5184

NPI assigned

Oct 25, 2005

Last updated

Jan 28, 2008By the provider in NPPES

Organization subpart

No

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

Addresses

Other names 1

• Lauderdale Community Living Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366432031. Details of each certification follow.

• CCN 445354 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445354

Legal name

CLC OF RIPLEY LLC

Doing business as

LAUDERDALE COMMUNITY LIVING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1995

Last certification

Jun 12, 2024

Beds

71

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Community Eldercare Services

Organization structure

LLCProprietary

Incorporated

Oct 12, 2000 in TN

Enrollment address

215 Lackey LN
Ripley, TN 38063-1619

Nursing home name

LAUDERDALE COMMUNITY LIVING CENTER

Affiliated entity

COMMUNITY ELDERCARE SERVICES

Listed as

Lauderdale Community Living CenterCCN 445354 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Aug 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7132.6 residents per day on average

Chain

Community Eldercare Services17 facilities in the chain

Penalties (3 years)

2Fines totaling $43,644

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Tanveer Aslam, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1043239965

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 16

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

• CLC of Dresden, LLC

  dba Hillview Community Living Center

  • Skilled Nursing Facility
  • Dresden, TN
  • NPI 1336139088

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Dyersburg, LLC

  dba Oakwood Community Living Center

  • Skilled Nursing Facility
  • Dyersburg, TN
  • NPI 1508856295

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Harriman, LLC

  dba Renaissance Terrace

  • Skilled Nursing Facility
  • Harriman, TN
  • NPI 1235676156

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Lexington, LLC

  dba Briarwood Community Living Center

  • Skilled Nursing Facility
  • Lexington, TN
  • NPI 1043200777

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Biloxi, LLC

  dba The Pillars of Biloxi

  • Skilled Nursing Facility
  • Biloxi, MS
  • NPI 1295725083

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Booneville, LLC

  dba Longwood Community Living Center

  • Skilled Nursing Facility
  • Booneville, MS
  • NPI 1447240122

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Bruce, LLC

  dba Bruce Community Living Center

  • Skilled Nursing Facility
  • Bruce, MS
  • NPI 1528249570

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Fulton, LLC

  dba Courtyards Community Living Center

  • Skilled Nursing Facility
  • Fulton, MS
  • NPI 1912997651

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Iuka, LLC

  dba Tishomingo Community Living Center

  • Skilled Nursing Facility
  • Iuka, MS
  • NPI 1457341976

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Jackson, LLC

  dba Pleasant Hills Community Living Center

  • Skilled Nursing Facility
  • Jackson, MS
  • NPI 1689664765

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Laurel, LLC

  dba Laurelwood Community Living Center

  • Skilled Nursing Facility
  • Laurel, MS
  • NPI 1326038092

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership
• CLC of Liberty, LLC

  dba Liberty Community Living Center

  • Skilled Nursing Facility
  • Liberty, MS
  • NPI 1912997685

  Community Eldercare Services, LLC, Community Living Centers, LLC

  CMS ownership

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.

• Tanveer Aslam, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1043239965
  NPD (past)

Affiliated clinicians 1

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

• Tanveer Aslam, MD

  • Internal Medicine Physician
  • Dyersburg, TN
  • NPI 1043239965

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1366432031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LACKEY LN",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631619",
            "telephone_number": "731-635-5100",
            "fax_number": "731-635-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LACKEY LN",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380631619",
            "telephone_number": "731-635-5100",
            "fax_number": "731-635-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLC OF RIPLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-01-28",
        "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": "TN",
            "license": "0000000154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauderdale Community Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Family Medicine (Christian Family Medcine of Weakley County)
• Christian Family Medicine, LLC (Christian Family Medicine and Pediatrics)
• Christian Family Pharmacy LLC
• Annabelle Chua
• Citizens of Lake County for Health Care, Inc (Lauderdale County Medical Clinic)
• James R Coffman, D MIN
• Lauren Conatser, FNP
• Cedric Cooper, DPM
• Crain's Pharmacy Inc
• Crossriver Telehealth PLLC

• Skilled Nursing Facility in Ripley, TN
• Providers in Ripley, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.

Verify at the official NPI Registry.