CLINTON HEALTHCARE LLC
NPI 1134360753
Skilled Nursing Facility in Clinton, MS

Active since March 11, 2009CLIA 25D0877536 · Waiver
3/5
Overall Rating
1251 PINEHAVEN RD, CLINTON, MS 39056(601) 924-2996(601) 924-6447 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clinton Healthcare Llc NPPES

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

CLINTON HEALTHCARE LLC (NPI 1134360753) is a healthcare organization registered as a skilled nursing facility in Clinton, Mississippi and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Tina Louise Ellis, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1134360753
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLINTON HEALTHCARE LLC
Location Address1251 PINEHAVEN RDClinton, MS 39056-3455
Mailing Address1251 Pinehaven RdClinton, MS 39056-3455 · (601) 924-2996 · Fax (601) 924-6447
Fax(601) 924-6447
Organization SubpartNo
Authorized OfficialTina Louise EllisComptroller · (601) 304-0980
Enumeration DateMarch 11, 2009
NPI 1134360753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
1251 PINEHAVEN RD, Clinton, MS 39056

Other Identifiers 2

Medicare UPIN255282MS
Medicaid00230093MS

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 25D0877536

Clinton Healthcare LLC · Clinton, MS
Active · expires Oct 4, 2027
CLIA Number25D0877536
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorTimothy Estes
Laboratory Phone(601) 924-2996
Laboratory LocationClinton Healthcare LLC1251 Pinehaven Road, Clinton, MS 39056
CLIA data matches this NPI record on: Address 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 Clinton Healthcare LLC - Snf (CMS certification number 255282), from CMS Care Compare.

Clinton Healthcare LLC - Snf

Nursing home · Clinton, MS
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number255282
Certified Beds121 beds113 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 2001
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
23.33
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 2.55 · LPN 1.04 · RN 0.41
3.99 hrs per resident per day
Weekend Nurse Staffing
2.98 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
37.5%
Registered Nurse Turnover
38.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Fines
2 totaling $10,304.45
Medicare Payment Denials
0
Total Penalties
2
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
1251 PINEHAVEN RD
CLINTON, MS 39056

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 Clinton Healthcare LLC's NPI number?

The NPI number for Clinton Healthcare LLC is 1134360753. It was assigned to this organization in the NPPES registry on March 11, 2009.

Where is Clinton Healthcare LLC located?

Clinton Healthcare LLC is located at 1251 Pinehaven Rd, Clinton, MS 39056. The listed phone number is (601) 924-2996.

What is Clinton Healthcare LLC's specialty?

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

Does Clinton Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0877536) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Clinton Healthcare LLC a Medicare-certified nursing home?

Yes. Clinton Healthcare LLC - Snf is a Medicare-certified nursing home with 121 certified beds.

What quality rating does Clinton Healthcare LLC have?

CMS rates Clinton Healthcare LLC - Snf 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 Clinton Healthcare LLC was last updated on March 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.