CARE CENTER OF ABERDEEN
NPI 1063628451
Skilled Nursing Facility in Aberdeen, MS

Active since May 15, 2007CLIA 25D0688496 · Waiver
505 JACKSON ST, ABERDEEN, MS 39730(662) 369-6431(662) 369-6473 Get Directions Write a Review

NPPES record last updated: April 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Care Center Of Aberdeen NPPES

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

CARE CENTER OF ABERDEEN (NPI 1063628451) is a healthcare organization registered as a skilled nursing facility in Aberdeen, Mississippi and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David W Stallard, Provider Representative, as its authorized official.

NPPES Registry Identity

NPI1063628451
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOMMUNITY CARE CENTER OF ABERDEEN
Location Address505 JACKSON STAberdeen, MS 39730-3349
Mailing Address505 Jackson StAberdeen, MS 39730-3349 · (662) 369-6431 · Fax (662) 369-6473
Fax(662) 369-6473
Organization SubpartNo
Authorized OfficialDavid W StallardProvider Representative · (601) 956-8884
Enumeration DateMay 15, 2007
Last NPPES UpdateApril 29, 2013
NPI 1063628451 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 · 561
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.
505 JACKSON ST, Aberdeen, MS 39730

Other Names 1

Doing Business AsCare Center Of Aberdeen

Other Identifiers 2

Medicaid00230034MS
Medicare OSCAR/certification255097MS

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 25D0688496

Care Center Of Aberdeen · Aberdeen, MS
Active · expires Aug 31, 2026
CLIA Number25D0688496
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMelinda Calaway
Laboratory Phone(662) 369-6431
Laboratory LocationCare Center Of Aberdeen505 Jackson St, Aberdeen, MS 39730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
505 JACKSON ST
ABERDEEN, MS 39730
Skilled Nursing Facility
505 JACKSON ST
ABERDEEN, MS 39730
Nurse Practitioner (Family)
505 JACKSON ST
ABERDEEN, MS 39730

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 Community Care Center Of Aberdeen's NPI number?

The NPI number for Community Care Center Of Aberdeen is 1063628451. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Care Center Of Aberdeen.

Where is Community Care Center Of Aberdeen located?

Community Care Center Of Aberdeen is located at 505 Jackson St, Aberdeen, MS 39730. The listed phone number is (662) 369-6431.

What is Community Care Center Of Aberdeen's specialty?

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

Does Community Care Center Of Aberdeen hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0688496) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Care Center Of Aberdeen was last updated on April 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.