TISHOMINGO COMMUNITY LIVING CENTER
NPI 1457341976
Skilled Nursing Facility in Iuka, MS

Active since October 26, 2005
1/5
Overall Rating
1410 W QUITMAN ST, IUKA, MS 38852(662) 423-3422(662) 423-5259 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tishomingo Community Living Center NPPES

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

TISHOMINGO COMMUNITY LIVING CENTER (NPI 1457341976) is a healthcare organization registered as a skilled nursing facility in Iuka, Mississippi and active in the NPI registry since October 2005. The organization lists Douglas M. Wright, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1457341976
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLC OF IUKA, LLC
Location Address1410 W QUITMAN STIuka, MS 38852-1129
Mailing AddressPo Box 562Iuka, MS 38852-0562 · (662) 423-3422 · Fax (662) 423-5259
Fax(662) 423-5259
Organization SubpartNo
Authorized OfficialDouglas M. WrightManaging Member · (662) 680-3148
Enumeration DateOctober 26, 2005
Last NPPES UpdateJanuary 28, 2008
NPI 1457341976 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 · 643
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.
1410 W QUITMAN ST, Iuka, MS 38852

Other Names 1

Doing Business AsTishomingo Community Living Center

Other Identifiers 2

Medicaid0230179MS
Medicare ID-Type Unspecified25-5127MS

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Tishomingo Comm Living Center (CMS certification number 255127), from CMS Care Compare.

Tishomingo Comm Living Center

Nursing home · Iuka, MS
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number255127
Certified Beds73 beds65 residents per day on average
Medicare & Medicaid Participant SinceSeptember 19, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
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.
125.33
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 2.05 · LPN 0.88 · RN 0.75
3.68 hrs per resident per day
Weekend Nurse Staffing
3.02 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
43.8%
Registered Nurse Turnover
42.9%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
3
Substantiated Complaints
0
Infection-Control Citations
0
Fines
2 totaling $180,279.50
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 6

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

Occupational Therapist
1410 W QUITMAN ST
IUKA, MS 38852
Occupational Therapy Assistant
1410 W QUITMAN ST
IUKA, MS 38852
Speech-Language Pathologist
1410 W QUITMAN ST
IUKA, MS 38852
Speech-Language Pathologist
1410 W QUITMAN ST
IUKA, MS 38852
Physical Therapist
1410 W QUITMAN ST
IUKA, MS 38852
Skilled Nursing Facility
1410 W QUITMAN ST
IUKA, MS 38852

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 Clc Of Iuka, LLC's NPI number?

The NPI number for Clc Of Iuka, LLC is 1457341976. It was assigned to this organization in the NPPES registry on October 26, 2005. The provider is doing business as Tishomingo Community Living Center.

Where is Clc Of Iuka, LLC located?

Clc Of Iuka, LLC is located at 1410 W Quitman St, Iuka, MS 38852. The listed phone number is (662) 423-3422.

What is Clc Of Iuka, LLC's specialty?

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

Is Clc Of Iuka, LLC a Medicare-certified nursing home?

Yes. Tishomingo Comm Living Center is a Medicare-certified nursing home with 73 certified beds.

What quality rating does Clc Of Iuka, LLC have?

CMS rates Tishomingo Comm Living Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Clc Of Iuka, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Clc Of Iuka, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clc Of Iuka, LLC was last updated on January 28, 2008. 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.