PLEASANT HILLS COMMUNITY LIVING CENTER
NPI 1689664765
Skilled Nursing Facility in Jackson, MS

Active since October 28, 2005
1600 RAYMOND RD, JACKSON, MS 39204(601) 371-1700(601) 371-1006 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pleasant Hills Community Living Center NPPES

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

PLEASANT HILLS COMMUNITY LIVING CENTER (NPI 1689664765) is a healthcare organization registered as a skilled nursing facility in Jackson, 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

NPI1689664765
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLC OF JACKSON, LLC
Location Address1600 RAYMOND RDJackson, MS 39204-4203
Mailing Address1600 Raymond RdJackson, MS 39204-4203 · (601) 371-1700 · Fax (601) 371-1006
Fax(601) 371-1006
Organization SubpartNo
Authorized OfficialDouglas M. WrightManaging Member · (662) 680-3148
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1689664765 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 · 612
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.
1600 RAYMOND RD, Jackson, MS 39204

Other Names 1

Doing Business AsPleasant Hills Community Living Center

Other Identifiers 1

Medicaid0230178MS

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Pleasant Hills Com Liv Center (CMS certification number 255112), from CMS Care Compare.

Pleasant Hills Com Liv Center

Nursing home · Jackson, MS
OwnershipFor profit - Corporation
CMS Certification Number255112
Certified Beds100 beds84 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1989
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
49.33
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 2.37 · LPN 1.33 · RN 0.35
4.06 hrs per resident per day
Weekend Nurse Staffing
3.41 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.
53.3%
Registered Nurse Turnover
40%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
2
Substantiated Complaints
3
Fines
9 totaling $165,567.44
Medicare Payment Denials
0
Total Penalties
9
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 5

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

Speech-Language Pathologist
1600 RAYMOND RD
JACKSON, MS 39204
Skilled Nursing Facility
1600 RAYMOND RD
JACKSON, MS 39204
Physical Therapy Assistant
1600 RAYMOND RD
JACKSON, MS 39204
Physical Therapist
1600 RAYMOND RD
JACKSON, MS 39204
Nurse Practitioner (Psychiatric/Mental Health)
1600 RAYMOND RD
JACKSON, MS 39204

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 Jackson, LLC's NPI number?

The NPI number for Clc Of Jackson, LLC is 1689664765. It was assigned to this organization in the NPPES registry on October 28, 2005. The provider is doing business as Pleasant Hills Community Living Center.

Where is Clc Of Jackson, LLC located?

Clc Of Jackson, LLC is located at 1600 Raymond Rd, Jackson, MS 39204. The listed phone number is (601) 371-1700.

What is Clc Of Jackson, LLC's specialty?

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

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

Yes. Pleasant Hills Com Liv Center is a Medicare-certified nursing home with 100 certified beds.

What insurance does Clc Of Jackson, 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 and 1 other insurer list Clc Of Jackson, 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 Jackson, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.