Active NPI
Community Care Center of Houma LLC
- Skilled Nursing Facility
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 781
- Legal business name
- COMMUNITY CARE CENTER OF HOUMA LLC
- Practice address
- 852 Centurion LN
Houma, LA 70360-5425 - Phone
- (985) 851-2307
- Fax
- (985) 851-6562
- NPI assigned
- May 4, 2006
- 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
- Ms. Toni Parkinson
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 781 | LA | Primary |
Addresses
Primary practice location
852 Centurion LN
Houma, LA 70360-5425
Mailing address
852 Centurion LN
Houma, LA 70360-5425
Phone (985) 851-2307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1521418 | Medicaid | LA | |
| 31045 | Other | LA | BLUE CROSS BLUE SHIELD |
Other names 1
- Heritage Manor Houma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070823000597 | LA | Part A Provider - Skilled Nursing Facility | 8527150440 | Practice locations: Houma, LA |
Skilled nursing facility certification: CCN 195485
- Legal name
- COMMUNITY CARE CENTER OF HOUMA LLC
- Doing business as
- HERITAGE MANOR OF HOUMA
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 2000
- Last certification
- Jul 18, 2024
- Beds
- 120
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medico LLC (85%); ACT Investments, LLC (15%)
- Organization structure
- LLC
- Enrollment address
- 852 Centurion Lane
Houma, LA 70360-5425 - Nursing home name
- HERITAGE MANOR OF HOUMA
- Affiliated entity
- THE BEEBE FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Heritage Manor of Houma
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 2000
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- The Beebe Family
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0672444 | Heritage Manor of Houma | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pineville, LA
- NPI 1275690125
Member Of
Ownership & related parties
All disclosed owners & managing parties 30
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 |
|---|---|---|---|
| Lecc Houma LLC | Adp of the SNF | Jan 1, 2025 | |
| Brittney Tinkes | Operational/Managerial Control | Mar 10, 2022 | |
| Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 5% |
| Gerard and Alison Danos Childrens TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 2.5% |
| QSST TR for Alison Beebe Sadler Danos and Her Descendants | 5% Or Greater Indirect Ownership Interest | Nov 1, 2013 | 28.34% |
| Adp of the SNF | Jan 1, 2025 | ||
| Medico LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 85% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Act Investments, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2010 | 15% |
| David & Felicia Stallard Child TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 5% |
| Account Management Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Felicias 2016 Fam TR No 2 | Adp of the SNF | Jan 1, 2025 | |
| Elton G Beebe | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Brian Robichaux | Operational/Managerial Control | Oct 29, 2015 | |
| Adp of the SNF | Oct 29, 2015 | ||
| Alisons 2016 Fam TR No 2 | Adp of the SNF | Jan 1, 2025 | |
| Verdin Enterprises, LLC | Adp of the SNF | Nov 1, 2021 | |
| Aria Care Management LLC | Adp of the SNF | Jan 1, 2023 | |
| Louisiana Extended Care Centers LLC | Adp of the SNF | Jan 1, 2025 | |
| Toni H Parkinson | Corporate Officer | Nov 15, 2015 | |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2010 | ||
| Provider Professional Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Joseph & Alison Sadler Children TR | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 2.5% |
| Administrative Systems Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Beebe 2013 Childrens TR NG | Adp of the SNF | Jan 1, 2025 | |
| David W Stallard | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Bobby L Beebe | Operational/Managerial Control | Dec 11, 2021 | |
| Adp of the SNF | Dec 11, 2021 | ||
| Providence Care LLC | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Tristar Rehab Inc | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Pathway South LLC | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| QSST TR for Felicia Beebe Stallard and Her Descendants | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Jun 23, 2009 | |
| LTC Him Consulting Inc | Adp of the SNF | Apr 11, 2007 | |
| Devin M Bourgeois | Operational/Managerial Control | Feb 2, 2023 | |
| Adp of the SNF | Feb 2, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Thibodaux, LA
- NPI 1669913943
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 55
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Nursing Facility/Intermediate Care Facility
- Alexandria, LA
- NPI 1952354086
Account Management Services Inc, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Medico LLC, Providence Ca
-
- Skilled Nursing Facility
- Bossier City, LA
- NPI 1992581961
Act Investments, LLC, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Medico LLC, Providence Care LLC, Provider Professional Services
-
- Skilled Nursing Facility
- Metairie, LA
- NPI 1497360432
Medico LLC, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendants
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1871541722
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Covington, LA
- NPI 1942258876
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Destrehan, LA
- NPI 1770541088
Account Management Services Inc, Administrative Systems Inc, Pathway South LLC, Provider Professional Services Inc, Tristar Rehab Inc
-
- Skilled Nursing Facility
- Hammond, LA
- NPI 1073571212
Account Management Services Inc, Administrative Systems Inc, Pathway South LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia Beebe Stallard and Her Descendant
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1962469213
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Mandeville, LA
- NPI 1679531362
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Pathway South LLC, Providence Care LLC, Provider Professional Services Inc
-
- Skilled Nursing Facility
- Opelousas, LA
- NPI 1821056136
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1083662944
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
-
- Skilled Nursing Facility
- Saint Martinville, LA
- NPI 1093773301
Account Management Services Inc, Act Investments, LLC, Administrative Systems Inc, David & Felicia Stallard Child TR, Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua, Gerard and Alison Danos Childrens TR, Joseph & Alison Sadler Children TR, Med
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Houma, LA
- NPI 1184637084
-
- Internal Medicine Physician
- Thibodaux, LA
- NPI 1669913943
-
- Family Medicine Physician
- Houma, LA
- NPI 1437118890
-
- Family Medicine Physician
- Houma, LA
- NPI 1740546381
Affiliated clinicians 5
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": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732924800000",
"number": "1407804362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "852 CENTURION LN",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605425",
"telephone_number": "985-851-2307",
"fax_number": "985-851-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "852 CENTURION LN",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605425",
"telephone_number": "985-851-2307",
"fax_number": "985-851-6562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE CENTER OF HOUMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"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": "Ms."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521418",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "31045",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Manor Houma",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Heritage Manor Houma",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.