TISHOMINGO MANOR
NPI 1194773515
Skilled Nursing Facility in Iuka, MS
About Tishomingo Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TISHOMINGO MANOR (NPI 1194773515) is a healthcare organization registered as a skilled nursing facility in Iuka, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Toni Parkinson, Authorized Representative, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
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 25D0885515
Tishomingo Manor · Iuka, MSFrequently 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 Tishomingo Community Care Center LLC's NPI number?
The NPI number for Tishomingo Community Care Center LLC is 1194773515. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Tishomingo Manor.
Where is Tishomingo Community Care Center LLC located?
Tishomingo Community Care Center LLC is located at 230 Kaki Ave, Iuka, MS 38852. The listed phone number is (662) 423-9112.
What is Tishomingo Community Care Center LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Tishomingo Community Care Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D0885515) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Tishomingo Community Care Center LLC was last updated on April 30, 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.