Community Care Center of Grenada, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

413 Issued in MS

Legal business name

COMMUNITY CARE CENTER OF GRENADA, LLC

Practice address

1950 Grandview Drive
Grenada, MS 38901-1674

Phone

(662) 226-9554

Fax

(662) 226-5537

NPI assigned

May 5, 2006

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Grenada Living Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Skilled nursing facility certification: CCN 255104

Legal name

COMMUNITY CARE CENTER OF GRENADA, LLC

Doing business as

GRENADA LIVING CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1989

Last certification

Apr 10, 2025

Beds

90

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Pathway Management

Organization structure

LLCProprietary

Enrollment address

1950 Grandview Dr
Grenada, MS 38901-5066

Nursing home name

GRENADA LIVING CENTER

Listed as

Grenada Living CenterCCN 255104

Overall star rating

3 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9085.0 residents per day on average

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

All disclosed owners & managing parties 22

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.

• Timothy Duncan Estes, M.D.

  • General Practice Physician
  • Jackson, MS
  • NPI 1285746511

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 50

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

• American Legacy Properties LLC

  • Skilled Nursing Facility
  • Greenville, MS
  • NPI 1447208228

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Attala Community Care Center LLC

  • 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

  CMS ownership
• Care Givers, LLC

  • Skilled Nursing Facility
  • Clarksdale, MS
  • NPI 1740238930

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc

  CMS ownership
• Collins Community Care Center LLC

  • Skilled Nursing Facility
  • Collins, MS
  • NPI 1215985734

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Columbia Community Care Center LLC

  • Skilled Nursing Facility
  • Columbia, MS
  • NPI 1467400242

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community 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

  CMS ownership
• Community Care Center of Laurel, LLC

  • 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

  CMS ownership
• Community Care Center of Vicksburg LLC

  • 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

  CMS ownership
• Copiah Community Care Center LLC

  • 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

  CMS ownership
• Desoto Community Care Center LLC

  • 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

  CMS ownership
• Gulfport Healthcare LLC

  • Skilled Nursing Facility
  • Gulfport, MS
  • NPI 1538582143

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Tristar Rehab Inc

  CMS ownership
• Humphreys Community Care Center LLC

  • Skilled Nursing Facility
  • Belzoni, MS
  • NPI 1891743274

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership

Practitioners 2

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

• Timothy Duncan Estes, M.D.

  • General Practice Physician
  • Jackson, MS
  • NPI 1285746511
  NPD (past)
• Joseph Frank Roberts, M.D.

  • Internal Medicine Physician
  • Grenada, MS
  • NPI 1023129608
  NPD (past)

Affiliated clinicians 1

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

• Joseph Frank Roberts, M.D.

  • Internal Medicine Physician
  • Grenada, MS
  • NPI 1023129608

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1477501922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 GRANDVIEW DRIVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389011674",
            "telephone_number": "662-226-9554",
            "fax_number": "662-226-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 GRANDVIEW DRIVE",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389011674",
            "telephone_number": "662-226-9554",
            "fax_number": "662-226-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF GRENADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "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": "413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80428",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230187",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grenada Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Childrens Health Clinic
• Sherry B Chrestman, FNP-C
• CMHP Enterprises
• John Henry Coleman, D.M.D.
• Andrea Jemae Collins, M.D.
• Anna Cooper
• Covenant Cove Care LLC
• Laurie Lynn Crain, MASTERS OF SCIENCE
• Wallace Edgar Cresswell, P.T.
• Betsy Cummings, CFNP

• Skilled Nursing Facility in Grenada, MS
• Providers in Grenada, MS by specialty
• Skilled Nursing Facility in Mississippi

• 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.

Verify at the official NPI Registry.