NPIMap

Organization Active NPI

Lincoln LTC, LLC

  • Skilled Nursing Facility
  • Brookhaven, MS
National Provider Identifier
1770824286
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LINCOLN LTC, LLC
Practice address
503 Silver Cross Dr
Brookhaven, MS 39601-2388
Phone
(601) 833-2361
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mr. G. Bennett Hubbard Jr.
Title
Member/Manager
Phone
(601) 849-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

503 Silver Cross Dr
Brookhaven, MS 39601-2388

Mailing address

PO Box 1490
Magee, MS 39111-1490
Phone (601) 849-2294

Other names 1

  • Silver Cross Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000239 MS Part A Provider - Skilled Nursing Facility 3678710373 Practice locations: Brookhaven, MS

Skilled nursing facility certification: CCN 255310

Legal name
LINCOLN LTC LLC
Doing business as
SILVER CROSS HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 10, 2005
Last certification
May 16, 2024
Beds
60
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
503 Silver Cross Drive
Brookhaven, MS 39601-2388
Nursing home name
SILVER CROSS HEALTH & REHAB
Affiliated entity
ADVANCED HEALTH CARE MANAGEMENT

All disclosed owners & managing parties 6

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

NameRoleSinceShare
DT Investments LLC Organization, Magee, MS LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2013 50%
Lincoln LTC LLC Organization, Brookhaven, MS Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Apr 1, 2013 100%
Brien B Hubbard Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2013 12.5%
Troy Griffin Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2013 50%
Operational/Managerial ControlManager Apr 1, 2013 50%
Providence Holdings LLC Organization, Magee, MS LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2013 50%
Gene B Hubbard Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2013 37.5%
Operational/Managerial ControlManager Apr 1, 2013 50%

National Provider Directory

National Provider Directory
Tax ID family
Lincoln LTC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 1

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

Practitioners 1

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

Affiliated clinicians 2

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Silver Cross Health & RehabCCN 255310
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 10, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6050.2 residents per day on average
Chain
Advanced Health Care Management6 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1770824286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391111490",
            "telephone_number": "601-849-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 SILVER CROSS DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012388",
            "telephone_number": "601-833-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "G.",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "601-849-2294",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Cross Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.