Organization Active NPI

Community Care Center of Heritage House LLC

Doing business as Heritage Manor of Baton Rouge II

  • Skilled Nursing Facility
  • Baton Rouge, LA
National Provider Identifier
1962469213
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
777 Issued in LA
Legal business name
COMMUNITY CARE CENTER OF HERITAGE HOUSE LLC
Doing business as
Heritage Manor of Baton Rouge II
Practice address
9301 Oxford Place Dr
Baton Rouge, LA 70809-2557
Phone
(225) 924-2851
Fax
(225) 924-2975
NPI assigned
Apr 28, 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
Ms. Toni Parkinson
Title
Authorized Representative
Phone
(601) 709-1408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 777 LA Primary

Addresses

Primary practice location

9301 Oxford Place Dr
Baton Rouge, LA 70809-2557

Mailing address

9301 Oxford Place Dr
Baton Rouge, LA 70809-2557
Phone (225) 924-2851

Other identifiers 3

IdentifierTypeStateIssuer
31048OtherLABC/BS
385H00000XOtherLARESPITE CARE
1521370MedicaidLA

Other names 1

  • HERITAGE MANOR OF BATON ROUGE II Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080201000528 LA Part A Provider - Skilled Nursing Facility 2466534185 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962469213. Details of each certification follow.

Skilled nursing facility certification: CCN 195389

Legal name
COMMUNITY CARE CENTER OF HERITAGE HOUSE, LLC
Doing business as
HERITAGE MANOR OF BATON ROUGE II
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 1, 1996
Last certification
Dec 11, 2024
Beds
144
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Medico, LLC and ACT Investments, LLC
Organization structure
LLCProprietary
Enrollment address
9301 Oxford Place Drive
Baton Rouge, LA 70809-2557
Nursing home name
HERITAGE MANOR OF BATON ROUGE II
Affiliated entity
THE BEEBE FAMILY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Heritage Manor of Baton Rouge IICCN 195389 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
144117.5 residents per day on average
Chain
The Beebe Family48 facilities in the chain
Penalties (3 years)
3Fines totaling $56,628

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
05D0670682Heritage Manor of Baton Rouge II9301 Oxford Place Drive, Baton Rouge, LA 70809Certificate 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 30

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

NameRoleSinceShare
Baton Rouge Heritage House LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Elton Glynn Beebe Jr. & Nancy Doty Beebe Irrv TR Ua Organization, Ridgeland, MS 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 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.34%
Adp of the SNF Jan 1, 2025
Medico LLC Organization, Ridgeland, MS LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2010 85%
Operational/Managerial Control Jan 1, 2010
Act Investments, LLC Organization, Ridgeland, MS LLC, 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
Felicias 2016 Fam TR No 2 Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Elton G Beebe Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2010 28.33%
Operational/Managerial Control Jan 1, 2010
Nicholas Casteel Individual Operational/Managerial Control Dec 30, 2022
Adp of the SNF Dec 30, 2022
Alisons 2016 Fam TR No 2 Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Verdin Enterprises, LLC Organization, Lisbon, LA LLC Adp of the SNF Nov 1, 2021
Aria Care Management LLC Organization, Palatine, IL LLC Adp of the SNF Aug 1, 2022
Louisiana Extended Care Centers LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Toni H Parkinson Individual Corporate OfficerPresident-Acct Manag Serv Inc Nov 15, 2015
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, 2013
Adp of the SNF Jan 1, 2013
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
Beebe 2013 Childrens TR NG Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
David W Stallard Individual Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Bobby L Beebe Individual Operational/Managerial Control Dec 11, 2021
Adp of the SNF Dec 11, 2021
Deskameka Diagre Devare Individual Operational/Managerial Control Apr 12, 2023
Providence Care LLC Organization, Mandeville, LA LLC Operational/Managerial Control Apr 7, 2020
Adp of the SNF Apr 7, 2020
Shravani Surakanti Individual Operational/Managerial Control Oct 1, 2016
Adp of the SNF Oct 1, 2016
Tristar Rehab Inc Organization, Homosassa, FL Corporation Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Pathway South LLC Organization, Ridgeland, MS LLC 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 5% Or Greater Indirect Ownership Interest Nov 1, 2013 28.33%
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC Adp of the SNF Sep 7, 2011
LTC Him Consulting Inc Organization, Church Point, LA Corporation Adp of the SNF May 1, 2007

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 3

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 1

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": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1962469213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 OXFORD PLACE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092557",
            "telephone_number": "225-924-2851",
            "fax_number": "225-924-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 OXFORD PLACE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092557",
            "telephone_number": "225-924-2851",
            "fax_number": "225-924-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE CENTER OF HERITAGE HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "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": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "31048",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE CARE",
            "identifier": "385H00000X",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521370",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE MANOR OF BATON ROUGE II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.