Active NPI
Community Care Center of Ville Platte LLC
Doing business as Heritage Manor Ville Platte
- Skilled Nursing Facility
- Ville Platte, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 795
- Legal business name
- COMMUNITY CARE CENTER OF VILLE PLATTE LLC
- Doing business as
- Heritage Manor Ville Platte
- Practice address
- 2020 W Main St
Ville Platte, LA 70586-2830 - Phone
- (337) 363-5532
- Fax
- (337) 363-6275
- NPI assigned
- May 2, 2006
- Last updated
- Nov 30, 2024
- 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 | 795 | LA | Primary |
Addresses
Primary practice location
2020 W Main St
Ville Platte, LA 70586-2830
Mailing address
2020 W Main St
Ville Platte, LA 70586-2830
Phone (337) 363-5532
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510050 | Medicaid | LA | |
| 30831 | Other | LA | BLUE CROSS BLUE SHIELD |
| 3747P1801X | Other | LA | PERSONAL CARE ATTENDNT |
| 385H00000X | Other | LA | RESPITE CARE |
Other names 1
- Heritage Manor Ville Platte
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080131000403 | LA | Part A Provider - Skilled Nursing Facility | 7416039235 | Practice locations: Ville Platte, LA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1750349452. Details of each certification follow.
Skilled nursing facility certification: CCN 195507
- Legal name
- COMMUNITY CARE CENTER OF VILLE PLATTE, LLC
- Doing business as
- HERITAGE MANOR OF VILLE PLATTE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 16, 2000
- Last certification
- Oct 30, 2024
- Beds
- 124
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Medico, LLC
- Organization structure
- LLC
- Enrollment address
- 2020 W. Main St
Ville Platte, LA 70586-2830 - Nursing home name
- HERITAGE MANOR OF VILLE PLATTE
- Affiliated entity
- THE BEEBE FAMILY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Heritage Manor of Ville Platte
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 16, 2000
- Medicare certification status
- Active
- Certified beds
- 124
- Chain
- The Beebe Family
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 19D0675513 | Heritage Manor Ville Platte | 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 23
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 |
|---|---|---|---|
| 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 | ||
| Theresa Roelle | Operational/Managerial Control | Jul 28, 2022 | |
| 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 | ||
| Elton G Beebe | 5% Or Greater Indirect Ownership Interest | Jan 1, 2010 | 28.33% |
| Operational/Managerial Control | Jan 1, 2010 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Verdin Enterprises, LLC | Adp of the SNF | Nov 1, 2021 | |
| Toni H Parkinson | Corporate Officer | Jul 1, 2011 | |
| 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 | ||
| David W Stallard | Operational/Managerial Control | Apr 7, 2020 | |
| Adp of the SNF | Apr 7, 2020 | ||
| Bobby L Beebe | Operational/Managerial Control | Jan 1, 2013 | |
| Adp of the SNF | Jan 1, 2013 | ||
| 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 Management of Louisiana 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 | Nov 1, 2013 | 28.33% |
| Adp of the SNF | Jan 1, 2025 | ||
| Sidney Prudhomme | Operational/Managerial Control | Oct 6, 2015 | |
| Adp of the SNF | Oct 6, 2015 | ||
| Pharmaceutical Consulting Services of America LLC | Adp of the SNF | Jul 6, 2010 | |
| Thomas G. Fontenot | Operational/Managerial Control | Mar 1, 2000 | |
| Adp of the SNF | Mar 1, 2000 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Ville Platte, LA
- NPI 1427199207
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.
-
dba The Summit
- 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, Pathway Manag
-
dba Riverview Care Center
- 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, Pathway Management of Louisiana LLC, Providence Care
-
dba Colonial Oaks Living Center
- 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
-
dba Landmark South Nursing & Rehabilition Center
- 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
-
dba Forest Manor Nursing & Rehabilitation Center
- 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
-
dba Ormond Nursing and Care Center
- Skilled Nursing Facility
- Destrehan, LA
- NPI 1770541088
Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Tristar Rehab Inc
-
dba Landmark Nursing Center of Hammond
- Skilled Nursing Facility
- Hammond, LA
- NPI 1073571212
Account Management Services Inc, Administrative Systems Inc, 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 Descendants, Tristar Rehab in
-
dba Heritage Manor of Baton Rouge II
- 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
-
dba Heritage Manor Houma
- Skilled Nursing Facility
- Houma, LA
- NPI 1407804362
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
-
dba Heritage Manor of Mandeville
- 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, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison B
-
dba Senior Village Nursing and Rehabilitation Center
- 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
-
dba Heritage Manor South
- 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
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Internal Medicine Physician
- Ville Platte, LA
- NPI 1316098544
-
- Internal Medicine Physician
- Ville Platte, LA
- NPI 1770524332
-
- Family Medicine Physician
- Ville Platte, LA
- NPI 1427199207
-
- Internal Medicine Physician
- Ville Platte, LA
- NPI 1578559407
Affiliated clinicians 6
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": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732924800000",
"number": "1750349452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W MAIN ST",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705862830",
"telephone_number": "337-363-5532",
"fax_number": "337-363-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W MAIN ST",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705862830",
"telephone_number": "337-363-5532",
"fax_number": "337-363-6275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE CENTER OF VILLE PLATTE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"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": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510050",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "30831",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE ATTENDNT",
"identifier": "3747P1801X",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESPITE CARE",
"identifier": "385H00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Manor Ville Platte",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ville Platte, LA
- CLHG-Ville Platte LLC (Mercy Rural Clinic)
- CLHG-Ville Platte LLC (Fontenot Family Clinic)
- CLHG-Ville Platte LLC (Mercy Regional Medical Center)
- Kathleen Alexander Coldiron, CCC/SLP
- Jeanne Feucht Comeaux
- Community Care of Evangeline Inc
- Community Care of Louisiana, LLC
- Mark Neil Coreil, D.D.S.
- Robert Laird Craig, M.D.
- Alyssa Kilene Davis
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.