Active NPI
American Legacy Properties LLC
Doing business as Legacy Manor Nursing & Rehabilitation Center
- Skilled Nursing Facility
- Greenville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 445
- Legal business name
- AMERICAN LEGACY PROPERTIES LLC
- Doing business as
- Legacy Manor Nursing & Rehabilitation Center
- Practice address
- 1935 N Theobald Street Ext
Greenville, MS 38703-2244 - Phone
- (662) 334-4501
- Fax
- (662) 335-4989
- NPI assigned
- May 4, 2006
- Last updated
- Apr 30, 2013
- 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
- Mrs. Toni Parkinson
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 445 | MS | Primary |
Addresses
Primary practice location
1935 N Theobald Street Ext
Greenville, MS 38703-2244
Mailing address
1935 N Theobald Street Ext
Greenville, MS 38703-2244
Phone (662) 334-4501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87080 | Other | MS | BLUE CROSS BLUE SHIELD |
| 00230142 | Medicaid | MS |
Other names 1
- Legacy Manor Nursing & Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090811000302 | MS | Part A Provider - Skilled Nursing Facility | 5395899355 | Practice locations: Greenville, MS |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1447208228. Details of each certification follow.
Skilled nursing facility certification: CCN 255292
- Legal name
- AMERICAN LEGACY PROPERTIES, LLC
- Doing business as
- LEGACY MANOR NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Oct 25, 2002
- Last certification
- Jun 13, 2024
- Beds
- 60
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 1935 North Theobald Street Ext
Greenville, MS 38704-2244 - Nursing home name
- LEGACY MANOR NURSING AND REHABILITATION CENTER
- Affiliated entity
- THE BEEBE FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Legacy Manor Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Oct 25, 2002
- Medicare certification status
- Active
- Certified beds
- 60
- Chain
- The Beebe Family
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
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 |
|---|---|---|---|
| Tracy L Beebe | Operational/Managerial Control | Jan 1, 2011 | |
| Trustee of the SNF | Jan 1, 2017 | ||
| Donald Blades | Operational/Managerial Control | Mar 7, 2022 | |
| Adp of the SNF | Mar 7, 2022 | ||
| Account Management Services Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Regional Care LLC | Operational/Managerial Control | Feb 1, 2018 | |
| Legends Properties LLC | Adp of the SNF | Jan 1, 2025 | |
| Linda Maynor | Adp of the SNF | Jan 1, 2011 | |
| Regional Services, Inc | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Direct Ownership Interest | Jan 1, 2011 | 1% | |
| Timothy Duncan Estes | Operational/Managerial Control | Dec 30, 2023 | |
| Adp of the SNF | Dec 30, 2023 | ||
| 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 | ||
| Nutrition Systems Consulting Inc | Adp of the SNF | Jan 31, 2008 | |
| Administrative Systems Inc | Operational/Managerial Control | Jan 1, 2010 | |
| Adp of the SNF | Jan 1, 2010 | ||
| Direct Ownership Interest | Oct 31, 2015 | 1% | |
| Bobby L Beebe | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jan 1, 2023 | ||
| Tristar Rehab Inc | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Elton G Beebe Sr Limited Ptrshp TR | 5% Or Greater Direct Ownership Interest | Oct 31, 2015 | 98% |
| Operational/Managerial Control | Jan 1, 2011 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Tasha Singleton | Operational/Managerial Control | Oct 18, 2024 | |
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Mar 28, 2018 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- Jackson, MS
- NPI 1285746511
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 50
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
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- Skilled Nursing Facility
- Kosciusko, MS
- NPI 1215985429
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Clarksdale Nursing Center
- Skilled Nursing Facility
- Clarksdale, MS
- NPI 1740238930
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc
-
dba Landmark of Collins
- Skilled Nursing Facility
- Collins, MS
- NPI 1215985734
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Services, Inc, Tristar Rehab Inc
-
dba The Myrtles Nursing Center
- Skilled Nursing Facility
- Columbia, MS
- NPI 1467400242
Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Limited Ptrshp TR, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Care Center of Aberdeen
- Skilled Nursing Facility
- Aberdeen, MS
- NPI 1063628451
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Grenada Living Center
- Skilled Nursing Facility
- Grenada, MS
- NPI 1477501922
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Care Center of Laurel
- Skilled Nursing Facility
- Laurel, MS
- NPI 1518094358
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Heritage House Nursing Center
- Skilled Nursing Facility
- Vicksburg, MS
- NPI 1225086374
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Copiah Living Center
- Skilled Nursing Facility
- Crystal Springs, MS
- NPI 1720036916
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Landmark of Desoto
- Skilled Nursing Facility
- Horn Lake, MS
- NPI 1831147677
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc
-
dba Gulfport Care Center
- Skilled Nursing Facility
- Gulfport, MS
- NPI 1538582143
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Tristar Rehab Inc
-
dba Humphreys County Nursing Center
- Skilled Nursing Facility
- Belzoni, MS
- NPI 1891743274
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Services, Inc, Tristar Rehab Inc
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- General Practice Physician
- Jackson, MS
- NPI 1285746511
-
- Internal Medicine Physician
- Greenville, MS
- NPI 1275562464
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": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367280000000",
"number": "1447208228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 N THEOBALD STREET EXT",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387032244",
"telephone_number": "662-334-4501",
"fax_number": "662-335-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 N THEOBALD STREET EXT",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387032244",
"telephone_number": "662-334-4501",
"fax_number": "662-335-4989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN LEGACY PROPERTIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2013-04-30",
"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": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "87080",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00230142",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Manor Nursing & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, MS
- Alexandra L Engel, DMD, Ms, PC
- Allegiance Specialty Hospital of Greenville, LLC
- Allegiance Specialty Hospital of Greenville, LLC
- Melody W Allen, RPH
- Alliance Oncology LLC (Alliance Cancer Center - Greenville)
- An Medi-Zen, PLLC (An Medi-Zen)
- Andrew E Abide DMD PA
- Anesthesia Services Associates
- Linsa Brown Archer, MA. LMFT
- Troy Neil Armstrong, MED, LAT, ATC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.