WISTERIA GARDENS, LLC
NPI 1306031372
Skilled Nursing Facility in Pearl, MS

Active since September 12, 2007CLIA 25D1071084 · Waiver
4/5
Overall Rating
5420 HIGHWAY 80 E, PEARL, MS 39208(601) 988-6800 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wisteria Gardens, Llc NPPES

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

WISTERIA GARDENS, LLC (NPI 1306031372) is a healthcare organization registered as a skilled nursing facility in Pearl, Mississippi and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through July 17, 2027 and lists William D Hill, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306031372
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWISTERIA GARDENS, LLC
Location Address5420 HIGHWAY 80 EPearl, MS 39208-8924
Mailing Address5420 Highway 80 EPearl, MS 39208-8924 · (601) 988-6800
Organization SubpartNo
Authorized OfficialWilliam D HillAdministrator · (601) 988-6800
Enumeration DateSeptember 12, 2007
NPI 1306031372 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.
5420 HIGHWAY 80 E, Pearl, MS 39208

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 25D1071084

Wisteria Gardens LLC · Pearl, MS
Active · expires Jul 17, 2027
CLIA Number25D1071084
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorDavid Hill
Laboratory Phone(601) 624-2498
Laboratory LocationWisteria Gardens LLC5420 Hwy 80 East, Pearl, MS 39208
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 Wisteria Gardens (CMS certification number 255325), from CMS Care Compare.

Wisteria Gardens

Nursing home · Pearl, MS
4/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number255325
Certified Beds52 beds47 residents per day on average
Medicare & Medicaid Participant SinceMarch 31, 2008
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
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 2.27 · LPN 1.21 · RN 0.78
4.25 hrs per resident per day
Weekend Nurse Staffing
3.08 hrs per resident per day
Physical Therapist Staffing
0.22 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
Infection-Control Citations
0
Fines
1 totaling $657.80
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.

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
5420 HIGHWAY 80 E
PEARL, MS 39208
Occupational Therapist
5420 HIGHWAY 80 E
PEARL, MS 39208

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 Wisteria Gardens, LLC's NPI number?

The NPI number for Wisteria Gardens, LLC is 1306031372. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is Wisteria Gardens, LLC located?

Wisteria Gardens, LLC is located at 5420 Highway 80 E, Pearl, MS 39208. The listed phone number is (601) 988-6800.

What is Wisteria Gardens, LLC's specialty?

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

Does Wisteria Gardens, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D1071084) is associated with this NPI, valid through July 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Wisteria Gardens, LLC a Medicare-certified nursing home?

Yes. Wisteria Gardens is a Medicare-certified nursing home with 52 certified beds.

What quality rating does Wisteria Gardens, LLC have?

CMS rates Wisteria Gardens 4 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 Wisteria Gardens, LLC was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.