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HERITAGE HOUSE NURSING CENTER
NPI 1225086374
Skilled Nursing Facility in Vicksburg, MS

Active since May 04, 2006CLIA 25D0877340 · Waiver
3/5
Overall Rating
3103 WISCONSIN AVE, VICKSBURG, MS 39180(601) 638-1514(601) 638-8738 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage House Nursing Center NPPES

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

HERITAGE HOUSE NURSING CENTER (NPI 1225086374) is a healthcare organization registered as a skilled nursing facility in Vicksburg, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Toni Parkinson, Admin. Asst., as its authorized official.

NPPES Registry Identity

NPI1225086374
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOMMUNITY CARE CENTER OF VICKSBURG LLC
Location Address3103 WISCONSIN AVEVicksburg, MS 39180-4825
Mailing Address3103 Wisconsin AveVicksburg, MS 39180-4825 · (601) 638-1514 · Fax (601) 638-8738
Phone(601) 638-1514
Fax(601) 638-8738
Organization SubpartNo
Authorized OfficialToni ParkinsonAdmin. Asst. · (601) 709-1408
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 30, 2013
✔ NPI 1225086374 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 · 54
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.
3103 WISCONSIN AVE, Vicksburg, MS 39180
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Other Names 1

Doing Business AsHeritage House Nursing Center

Other Identifiers 3

Other80405MS · Blue Cross Blue Shield
Medicare OSCAR/certification255284MS
Medicaid00230137MS

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 25D0877340

Heritage House Nursing Center · Vicksburg, MS
Active · expires Sep 29, 2027
CLIA Number25D0877340
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorLesley Grace
Laboratory Phone(601) 638-1514
Laboratory LocationHeritage House Nursing Center3103 Wisconsin Avenue, Vicksburg, MS 39182
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 Heritage House Nursing Center (CMS certification number 255284), from CMS Care Compare.

Heritage House Nursing Center

Nursing home · Vicksburg, MS
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255284
Certified Beds60 beds53 residents per day on average
Medicare & Medicaid Participant SinceMarch 6, 2002
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
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
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.
26.67
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 2.26 · LPN 1.07 · RN 0.66
3.99 hrs per resident per day
Weekend Nurse Staffing
3.28 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Infection-Control Citations
0
Fines
1 totaling $3,250.00
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.

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 Vicksburg LLC's NPI number?

The NPI number for Community Care Center Of Vicksburg LLC is 1225086374. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Heritage House Nursing Center.

Where is Community Care Center Of Vicksburg LLC located?

Community Care Center Of Vicksburg LLC is located at 3103 Wisconsin Ave, Vicksburg, MS 39180. The listed phone number is (601) 638-1514.

What is Community Care Center Of Vicksburg LLC's specialty?

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

Does Community Care Center Of Vicksburg LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0877340) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Community Care Center Of Vicksburg LLC a Medicare-certified nursing home?

Yes. Heritage House Nursing Center is a Medicare-certified nursing home with 60 certified beds.

What quality rating does Community Care Center Of Vicksburg LLC have?

CMS rates Heritage House Nursing Center 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 Community Care Center Of Vicksburg 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.