NPIMap

Organization Active NPI

Carthage Senior Care

  • Skilled Nursing Facility
  • Carthage, MS
National Provider Identifier
1457934952
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARTHAGE SENIOR CARE
Practice address
1065 E Franklin St
Carthage, MS 39051-3601
Phone
(601) 267-1352
NPI assigned
May 3, 2021
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Lori Warnock
Title
Director of Finance
Phone
(601) 499-0899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1065 E Franklin St
Carthage, MS 39051-3601

Mailing address

125 Fountains Blvd
Madison, MS 39110-6344

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511001548 MS Part A Provider - Skilled Nursing Facility 9234548876 Practice locations: Carthage, MS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457934952. Details of each certification follow.

Skilled nursing facility certification: CCN 255351

Legal name
CARTHAGE SENIOR CARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 24, 2021
Last certification
May 9, 2024
Beds
60
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
May 5, 2021 in MS
Enrollment address
302 Ellis St
Carthage, MS 39051-3809
Nursing home name
CARTHAGE SENIOR CARE
Affiliated entity
TREND CONSULTANTS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carthage Senior CareCCN 255351 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6054.5 residents per day on average
Chain
Trend Consultants15 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
25D2135135Carthage Senior Care1065 E Franklin St, Carthage, MS 39051Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory

Locations

302 Ellis St
Carthage, MS 39051
Phone (601) 267-1100

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lori Warnock Individual Operational/Managerial Control May 1, 2021
Adp of the SNF May 1, 2021
Charles B Kelly Individual 5% Or Greater Direct Ownership Interest May 1, 2021 99%
Adp of the SNF May 1, 2021
Individual Adp of the SNF Jun 28, 2021
Individual Adp of the SNF May 1, 2021

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

Affiliated clinicians 3

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": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1457934952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOUNTAINS BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E FRANKLIN ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390513601",
            "telephone_number": "601-267-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTHAGE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "WARNOCK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "601-499-0899"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.