Organization Active NPI

Community Care Center of Houma LLC

  • Skilled Nursing Facility
  • Houma, LA
National Provider Identifier
1407804362
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
781 Issued in LA
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

Updated by the provider on Nov 30, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1521418MedicaidLA
31045OtherLABLUE CROSS BLUE SHIELD

Other names 1

  • Heritage Manor Houma Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HoumaCCN 195485
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120116.5 residents per day on average
Chain
The Beebe Family48 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
19D0672444Heritage Manor of Houma852 Centurion Lane, Houma, LA 70360Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NameRoleSinceShare
Lecc Houma LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Brittney Tinkes Individual Operational/Managerial Control Mar 10, 2022
Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 5%
Gerard and Alison Danos Childrens TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 2.5%
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.34%
Adp of the SNF Jan 1, 2025
Medico LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 85%
Operational/Managerial Control Jan 1, 2010
Act Investments, LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 15%
David & Felicia Stallard Child TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 5%
Account Management Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Felicias 2016 Fam TR No 2 Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Elton G Beebe Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.33%
Operational/Managerial Control Jan 1, 2010
Brian Robichaux Individual Operational/Managerial Control Oct 29, 2015
Adp of the SNF Oct 29, 2015
Alisons 2016 Fam TR No 2 Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Verdin Enterprises, LLC Organization, Lisbon, LA LLC, Consulting firm Adp of the SNF Nov 1, 2021
Aria Care Management LLC Organization, Palatine, IL LLC, Consulting firm Adp of the SNF Jan 1, 2023
Louisiana Extended Care Centers LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Toni H Parkinson Individual Corporate OfficerPresident -Administrative System Nov 15, 2015
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Joseph & Alison Sadler Children TR Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 2.5%
Administrative Systems Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Beebe 2013 Childrens TR NG Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
David W Stallard Individual Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Bobby L Beebe Individual Operational/Managerial Control Dec 11, 2021
Adp of the SNF Dec 11, 2021
Providence Care LLC Organization, Mandeville, LA LLC Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Tristar Rehab Inc Organization, Homosassa, FL Corporation Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Pathway South LLC Organization, Ridgeland, MS LLC Operational/Managerial Control Jan 1, 2013
Adp of the SNF Jan 1, 2013
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.33%
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC, Consulting firm Adp of the SNF Jun 23, 2009
LTC Him Consulting Inc Organization, Church Point, LA Corporation, Consulting firm Adp of the SNF Apr 11, 2007
Devin M Bourgeois Individual 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.

Facilities with the same owner 55

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

View all 55

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.