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LEGACY MANOR NURSING & REHABILITATION CENTER
NPI 1447208228
Skilled Nursing Facility in Greenville, MS

Active since May 04, 2006CLIA 25D0887127 · Waiver
5/5
Overall Rating
1935 N THEOBALD STREET EXT, GREENVILLE, MS 38703(662) 334-4501(662) 335-4989 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legacy Manor Nursing & Rehabilitation Center NPPES

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

LEGACY MANOR NURSING & REHABILITATION CENTER (NPI 1447208228) is a healthcare organization registered as a skilled nursing facility in Greenville, Mississippi and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 5, 2028 and lists Toni Parkinson, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1447208228
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameAMERICAN LEGACY PROPERTIES LLC
Location Address1935 N THEOBALD STREET EXTGreenville, MS 38703-2244
Mailing Address1935 N Theobald Street ExtGreenville, MS 38703-2244 · (662) 334-4501 · Fax (662) 335-4989
Phone(662) 334-4501
Fax(662) 335-4989
Organization SubpartNo
Authorized OfficialToni ParkinsonAuthorized Representative · (601) 709-1408
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 30, 2013
✔ NPI 1447208228 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 · 445
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.
1935 N THEOBALD STREET EXT, Greenville, MS 38703
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Other Names 1

Doing Business AsLegacy Manor Nursing & Rehabilitation Center

Other Identifiers 3

Other87080MS · Blue Cross Blue Shield
Medicare OSCAR/certification255292MS
Medicaid00230142MS

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 25D0887127

Legacy Manor Nursing & Rehab Center · Greenville, MS
Active · expires Jun 5, 2028
CLIA Number25D0887127
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 6, 2026
Certificate Expiration DateJune 5, 2028
Laboratory DirectorBonnie Hatten
Laboratory Phone(662) 334-4501
Laboratory LocationLegacy Manor Nursing & Rehab Center1935 North Theobald, Greenville, MS 38701
CLIA data matches this NPI record on: Address 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 Legacy Manor Nursing And Rehabilitation (CMS certification number 255292), from CMS Care Compare.

Legacy Manor Nursing And Rehabilitation

Nursing home · Greenville, MS
5/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number255292
Certified Beds60 beds52 residents per day on average
Medicare & Medicaid Participant SinceOctober 25, 2002
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
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.
18.67
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 2.13 · LPN 1.09 · RN 0.47
3.7 hrs per resident per day
Weekend Nurse Staffing
3.28 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
48.3%
Registered Nurse Turnover
33.3%
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
2
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
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 American Legacy Properties LLC's NPI number?

The NPI number for American Legacy Properties LLC is 1447208228. It was assigned to this organization in the NPPES registry on May 4, 2006. The provider is doing business as Legacy Manor Nursing & Rehabilitation Center.

Where is American Legacy Properties LLC located?

American Legacy Properties LLC is located at 1935 N Theobald Street Ext, Greenville, MS 38703. The listed phone number is (662) 334-4501.

What is American Legacy Properties LLC's specialty?

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

Does American Legacy Properties LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0887127) is associated with this NPI, valid through June 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is American Legacy Properties LLC a Medicare-certified nursing home?

Yes. Legacy Manor Nursing And Rehabilitation is a Medicare-certified nursing home with 60 certified beds.

What quality rating does American Legacy Properties LLC have?

CMS rates Legacy Manor Nursing And Rehabilitation 5 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 American Legacy Properties LLC was last updated on April 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.