BILLDORA SENIOR CARE LLC
NPI 1013109479
Skilled Nursing Facility in Tylertown, MS

Active since August 09, 2007CLIA 25D0672001 · Waiver
3/5
Overall Rating
314 ENOCHS ST, TYLERTOWN, MS 39667(601) 876-2173(601) 876-4904 Get Directions Write a Review

NPPES record last updated: August 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Billdora Senior Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BILLDORA SENIOR CARE LLC (NPI 1013109479) is a healthcare organization registered as a skilled nursing facility in Tylertown, Mississippi and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Tina Ellis, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1013109479
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBILLDORA SENIOR CARE LLC
Location Address314 ENOCHS STTylertown, MS 39667-2716
Mailing Address314 Enochs StTylertown, MS 39667-2716 · (601) 876-2173 · Fax (601) 876-4904
Fax(601) 876-4904
Organization SubpartNo
Authorized OfficialTina EllisComptroller · (601) 304-0980
Enumeration DateAugust 9, 2007
NPI 1013109479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MS · 179
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
314 ENOCHS ST, Tylertown, MS 39667

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0672001

Billdora Senior Care · Tylertown, MS
Active · expires Apr 20, 2028
CLIA Number25D0672001
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorLucious M. Lampton
Laboratory Phone(601) 876-2173
Laboratory LocationBilldora Senior Care314 Enoch Street, Tylertown, MS 39667
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Billdora Senior Care (CMS certification number 255243), from CMS Care Compare.

Billdora Senior Care

Nursing home · Tylertown, MS
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number255243
Certified Beds60 beds48 residents per day on average
Medicare & Medicaid Participant SinceFebruary 1, 1997
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
17.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.52 · LPN 1.32 · RN 0.31
4.15 hrs per resident per day
Weekend Nurse Staffing
3.33 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50%
Registered Nurse Turnover
57.1%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
0
Fines
1 totaling $11,624.67
Medicare Payment Denials
0
Total Penalties
1
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
314 ENOCHS ST
TYLERTOWN, MS 39667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Billdora Senior Care LLC's NPI number?

The NPI number for Billdora Senior Care LLC is 1013109479. It was assigned to this organization in the NPPES registry on August 9, 2007.

Where is Billdora Senior Care LLC located?

Billdora Senior Care LLC is located at 314 Enochs St, Tylertown, MS 39667. The listed phone number is (601) 876-2173.

What is Billdora Senior Care LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Billdora Senior Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0672001) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Billdora Senior Care LLC a Medicare-certified nursing home?

Yes. Billdora Senior Care is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Billdora Senior Care LLC have?

CMS rates Billdora Senior Care 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Billdora Senior Care LLC was last updated on August 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.