Organization Active NPI

Vcncl, LLC

  • Skilled Nursing Facility
  • Columbus, MS
National Provider Identifier
1891869012
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
183 Issued in MS
Legal business name
VCNCL, LLC
Practice address
2002 5TH St N
Columbus, MS 39705-2208
Phone
(662) 328-1133
Fax
(662) 328-0774
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Mr. David Rotolo
Title
Member
Phone
(601) 853-2667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 183 MS Primary

Addresses

Primary practice location

2002 5TH St N
Columbus, MS 39705-2208

Mailing address

PO Box 2712
Ridgeland, MS 39158-2712
Phone (601) 853-2667

Other identifiers 1

IdentifierTypeStateIssuer
00230082MedicaidMS

Other names 1

  • Vineyard Court Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080220000176 MS Part A Provider - Skilled Nursing Facility 4385728039 Practice locations: Columbus, MS

Skilled nursing facility certification: CCN 255299

Legal name
VCNCL, LLC
Doing business as
VINEYARD COURT NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 2003
Last certification
Feb 20, 2025
Beds
55
Ownership / control type
Corporation
Multi-facility organization
Briar Hill Management
Organization structure
LLCProprietary
Incorporated
Aug 13, 2007 in MS
Enrollment address
2002 5TH N St
Columbus, MS 39705-2208
Nursing home name
VINEYARD COURT NURSING CENTER
Affiliated entity
BRIAR HILL MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vineyard Court Nursing CenterCCN 255299
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 1, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5551.2 residents per day on average
Chain
Briar Hill Management6 facilities in the chain
Penalties (3 years)
3Fines totaling $78,952

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
25D0889304Vineyard Court Nursing Center2002 5TH St N, Columbus, MS 39705Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

2002 5th St N
Columbus, MS 39705
Phone (301) 206-0901

Ownership & related parties

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.

NameRoleSinceShare
Omnicare LLC Organization, Woonsocket, RI LLC, Medical provider/supplier, For-profit Adp of the SNF May 1, 2017
Organization, Ridgeland, MS LLC, Consulting firm, For-profit Adp of the SNF Apr 4, 2025
Carrie Whitlow Individual Operational/Managerial Control Sep 5, 2022
Adp of the SNF Sep 5, 2022
David Rotolo Individual 5% Or Greater Direct Ownership InterestOwner Jan 28, 2008 40%
Operational/Managerial Control Jan 28, 2008
Adp of the SNF Jan 28, 2008
Direct Ownership Interest Jan 28, 2008 40%
Robert Rotolo Individual 5% Or Greater Direct Ownership InterestOwner Jan 28, 2008 40%
Operational/Managerial Control Jan 28, 2008
Adp of the SNF Jan 28, 2008
Direct Ownership Interest Jan 28, 2008 40%
Ashley R Muha Individual Operational/Managerial Control Oct 4, 2010
Adp of the SNF Oct 4, 2010
VCNC LLC Organization, Ridgeland, MS LLC, For-profit Adp of the SNF Jan 28, 2008
Scottie Brown Individual Operational/Managerial Control Sep 10, 2021
Adp of the SNF Sep 10, 2021
Timothy Duncan Estes Individual Adp of the SNF Nov 11, 2008
Mia M Witten Individual Operational/Managerial Control Jun 8, 2023
Adp of the SNF Jun 8, 2023
Lynn Philippe Individual 5% Or Greater Direct Ownership InterestOwner Jan 28, 2008 20%
Adp of the SNF Jan 28, 2008
Direct Ownership Interest Jan 28, 2008 20%
Donna P Green Individual Operational/Managerial Control May 4, 2010
Adp of the SNF May 4, 2010
Sandy M Burlison Individual Operational/Managerial Control Feb 25, 2019
Adp of the SNF Feb 25, 2019
Briar Hill Management, LLC Organization, Ridgeland, MS LLC, For-profit, Chain home office Operational/Managerial Control Sep 3, 2003
Adp of the SNF Apr 1, 2025
Organization, Baton Rouge, LA LLC, Consulting firm, For-profit Adp of the SNF Apr 4, 2025
Organization, Jackson, MS Corporation, Financial institution, For-profit Adp of the SNF Apr 24, 2025
Sharon Ann Burns Individual Operational/Managerial Control Jan 28, 2008
Adp of the SNF Jan 28, 2008
Frosini Rubertino Individual Adp of the SNF Sep 18, 2017
Organization, Dwight, IL LLC, Financial institution, For-profit Adp of the SNF Apr 24, 2025
Deborah White Individual Operational/Managerial Control May 12, 2014
Adp of the SNF May 12, 2014
Curtis King Individual Operational/Managerial Control Sep 1, 2016
Adp of the SNF Sep 1, 2016
Organization, Oneonta, AL LLC, Consulting firm, For-profit Adp of the SNF Apr 4, 2025

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 5

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1891869012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2712",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391582712",
            "telephone_number": "601-853-2667",
            "fax_number": "601-853-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052208",
            "telephone_number": "662-328-1133",
            "fax_number": "662-328-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCNCL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "ROTOLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-853-2667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230082",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Court Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.