Organization Active NPI

Community Care Center of Ville Platte LLC

Doing business as Heritage Manor Ville Platte

  • Skilled Nursing Facility
  • Ville Platte, LA
National Provider Identifier
1750349452
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
795 Issued in LA
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, 2024By the provider in NPPES
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
Mrs. Toni Parkinson
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1510050MedicaidLA
30831OtherLABLUE CROSS BLUE SHIELD
3747P1801XOtherLAPERSONAL CARE ATTENDNT
385H00000XOtherLARESPITE CARE

Other names 1

  • Heritage Manor Ville Platte Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 PlatteCCN 195507 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 16, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
124110.1 residents per day on average
Chain
The Beebe Family48 facilities in the chain
Penalties (3 years)
1Fines totaling $11,022

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
19D0675513Heritage Manor Ville Platte2020 West Main Street, Ville Platte, LA 70586Certificate 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 23

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

NameRoleSinceShare
Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua Organization, Ridgeland, MS Owned by another organization or individual 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 LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.34%
Adp of the SNF Jan 1, 2025
Medico LLC Organization, Ridgeland, MS LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 85%
Operational/Managerial Control Jan 1, 2010
Theresa Roelle Individual Operational/Managerial Control Jul 28, 2022
Act Investments, LLC Organization, Ridgeland, MS LLC, For-profit, 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
Elton G Beebe Individual 5% Or Greater Indirect Ownership InterestMember Jan 1, 2010 28.33%
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2025
Verdin Enterprises, LLC Organization, Lisbon, LA LLC Adp of the SNF Nov 1, 2021
Toni H Parkinson Individual Corporate OfficerPresident, Account Management Jul 1, 2011
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
David W Stallard Individual Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Bobby L Beebe Individual Operational/Managerial ControlField Manager Through Pathway Ma Jan 1, 2013
Adp of the SNF Jan 1, 2013
Providence Care LLC Organization, Mandeville, LA LLC, Management services company 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 Management of Louisiana LLC Organization, Ridgeland, MS LLC, For-profit 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 LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.33%
Adp of the SNF Jan 1, 2025
Sidney Prudhomme Individual Operational/Managerial Control Oct 6, 2015
Adp of the SNF Oct 6, 2015
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC Adp of the SNF Jul 6, 2010
Thomas G. Fontenot Individual 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.

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, and the practitioner matching its NPPES authorized official.

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

Sources for this page

Verify at the official NPI Registry.