Pike Community Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

908 Issued in MS

Legal business name

PIKE COMMUNITY CARE CENTER LLC

Doing business as

Camellia Estates

Practice address

1714 White St
McComb, MS 39648-2712

Phone

(601) 250-0066

Fax

(601) 250-0640

NPI assigned

May 4, 2006

Last updated

May 3, 2019By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Camellia Estates Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992753180. Details of each certification follow.

• CCN 255280 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 255280

Legal name

PIKE COMMUNITY CARE CENTER, LLC

Doing business as

CAMELLIA ESTATES

Certification status

Active

Provider type (POS)

Nursing home – SNF (Medicare) only

Participating since

Sep 7, 2001

Last certification

Nov 14, 2024

Beds

30

Ownership / control type

Corporation

Multi-facility organization

Pathway Management

Organization structure

LLCProprietary

Enrollment address

1714 White St
McComb, MS 39648-2712

Nursing home name

CAMELLIA ESTATES

Affiliated entity

THE BEEBE FAMILY

Listed as

Camellia EstatesCCN 255280 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare

Ownership

For profit - Corporation

Certified

Sep 7, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3021.7 residents per day on average

Chain

The Beebe Family48 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lucius M. Lampton, M.D.

  • Family Medicine Physician
  • Magnolia, MS
  • NPI 1689781007

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 55

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

• American Legacy Properties LLC

  dba Legacy Manor Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Greenville, MS
  • NPI 1447208228

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Attala Community Care Center LLC

  dba Attala County Nursing Center

  • Skilled Nursing Facility
  • Kosciusko, MS
  • NPI 1215985429

  Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Medico LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia

  CMS ownership
• Care Givers, LLC

  dba Clarksdale Nursing Center

  • Skilled Nursing Facility
  • Clarksdale, MS
  • NPI 1740238930

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc

  CMS ownership
• Collins Community Care Center LLC

  dba Landmark of Collins

  • Skilled Nursing Facility
  • Collins, MS
  • NPI 1215985734

  Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Medico LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia

  CMS ownership
• Columbia Community Care Center LLC

  dba The Myrtles Nursing Center

  • Skilled Nursing Facility
  • Columbia, MS
  • NPI 1467400242

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Aberdeen

  dba Care Center of Aberdeen

  • Skilled Nursing Facility
  • Aberdeen, MS
  • NPI 1063628451

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Grenada, LLC

  dba Grenada Living Center

  • Skilled Nursing Facility
  • Grenada, MS
  • NPI 1477501922

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Laurel, LLC

  dba Care Center of Laurel

  • Skilled Nursing Facility
  • Laurel, MS
  • NPI 1518094358

  Account Management Services Inc, Administrative Systems Inc, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Community Care Center of Vicksburg LLC

  dba Heritage House Nursing Center

  • Skilled Nursing Facility
  • Vicksburg, MS
  • NPI 1225086374

  Account Management Services Inc, Administrative Systems Inc, Medico LLC, 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, Reg

  CMS ownership
• Copiah Community Care Center LLC

  dba Copiah Living Center

  • Skilled Nursing Facility
  • Crystal Springs, MS
  • NPI 1720036916

  Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Medico LLC, Providence Care LLC, Provider Professional Services Inc, QSST TR for Alison Beebe Sadler Danos and Her Descendants, QSST TR for Felicia

  CMS ownership
• Desoto Community Care Center LLC

  dba Landmark of Desoto

  • Skilled Nursing Facility
  • Horn Lake, MS
  • NPI 1831147677

  Account Management Services Inc, Administrative Systems Inc, Elton G Beebe Sr Irrv Grndchildrens TR, Providence Care LLC, Provider Professional Services Inc, Regional Care LLC, Regional Services, Inc, Tristar Rehab Inc

  CMS ownership
• Gulfport Healthcare LLC

  dba Gulfport Care Center

  • Skilled Nursing Facility
  • Gulfport, MS
  • NPI 1538582143

  Account Management Services Inc, Administrative Systems Inc, Medico LLC, 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, Reg

  CMS ownership

Practitioners 1

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.

• Lucius M. Lampton, M.D.

  • Family Medicine Physician
  • Magnolia, MS
  • NPI 1689781007
  NPD (past)

Affiliated clinicians 1

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

• Lucius M. Lampton, M.D.

  • Family Medicine Physician
  • Magnolia, MS
  • NPI 1689781007

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1992753180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 WHITE ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482712",
            "telephone_number": "601-250-0066",
            "fax_number": "601-250-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 WHITE ST",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482712",
            "telephone_number": "601-250-0066",
            "fax_number": "601-250-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COMMUNITY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-05-03",
        "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": "MS",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MS",
            "identifier": "000080491",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camellia Estates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Camellia Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Tristan Peavey Sr., M.D.
• Roy David Pennington, M.D.
• Jan Perrett
• Salita Marlene Perry
• Neil William Pierson
• Tameka Pinder
• Wilma Pittman
• Podiatry Group Inc
• Jessica Polk, CFNP
• Jarett Lawrence Pollan, FNP

• Skilled Nursing Facility in McComb, MS
• Providers in McComb, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.

Verify at the official NPI Registry.