LEXINGTON MANOR SENIOR CARE LLC
NPI 1063604320
Skilled Nursing Facility in Lexington, MS

Active since August 10, 2007CLIA 25D0904301 · Waiver
2/5
Overall Rating
56 ROCKPORT RD, LEXINGTON, MS 39095(662) 834-3021(662) 834-4848 Get Directions Write a Review

NPPES record last updated: August 10, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lexington Manor Senior Care Llc NPPES

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

LEXINGTON MANOR SENIOR CARE LLC (NPI 1063604320) is a healthcare organization registered as a skilled nursing facility in Lexington, Mississippi and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Tina Ellis, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1063604320
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLEXINGTON MANOR SENIOR CARE LLC
Location Address56 ROCKPORT RDLexington, MS 39095-5166
Mailing Address56 Rockport RdLexington, MS 39095-5166 · (662) 834-3021 · Fax (662) 834-4848
Fax(662) 834-4848
Organization SubpartNo
Authorized OfficialTina EllisComptroller · (662) 834-3021
Enumeration DateAugust 10, 2007
NPI 1063604320 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 · 614
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.

56 ROCKPORT RD, Lexington, MS 39095

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 25D0904301

Lexington Manor Inc · Lexington, MS
Active · expires Aug 14, 2027
CLIA Number25D0904301
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorLisa Williamson
Laboratory Phone(601) 864-3021
Laboratory LocationLexington Manor Inc56 Rockport Road, Lexington, MS 39095
CLIA data matches this NPI record on: Address Name
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 Lexington Manor Senior Care, LLC (CMS certification number 255091), from CMS Care Compare.

Lexington Manor Senior Care, LLC

Nursing home · Lexington, MS
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255091
Certified Beds60 beds59 residents per day on average
Medicare & Medicaid Participant SinceAugust 9, 1984
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
16.67
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 · LPN 1.09 · RN 0.32
3.41 hrs per resident per day
Weekend Nurse Staffing
2.87 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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.

Skilled Nursing Facility
56 ROCKPORT RD
LEXINGTON, MS 39095

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 Lexington Manor Senior Care LLC's NPI number?

The NPI number for Lexington Manor Senior Care LLC is 1063604320. It was assigned to this organization in the NPPES registry on August 10, 2007.

Where is Lexington Manor Senior Care LLC located?

Lexington Manor Senior Care LLC is located at 56 Rockport Rd, Lexington, MS 39095. The listed phone number is (662) 834-3021.

What is Lexington Manor Senior Care LLC's specialty?

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

Does Lexington Manor Senior Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0904301) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lexington Manor Senior Care LLC a Medicare-certified nursing home?

Yes. Lexington Manor Senior Care, LLC is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Lexington Manor Senior Care LLC have?

CMS rates Lexington Manor Senior Care, LLC 2 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 Lexington Manor Senior Care LLC was last updated on August 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.