Community Care Center of Vicksburg LLC
NPI 1225086374 · Skilled Nursing Facility · Vicksburg, MS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Community Care Center of Vicksburg LLC is a Skilled Nursing Facility organization in Vicksburg, MS (NPI 1225086374).
Provider details
- NPI number
- 1225086374
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Toni Parkinson, Admin. Asst.(601) 709-1408
- License
- 54 (MS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Heritage House Nursing Center
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2013-04-30
Frequently asked questions
- What is Community Care Center of Vicksburg LLC's NPI number?
- Community Care Center of Vicksburg LLC's National Provider Identifier (NPI) is 1225086374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care Center of Vicksburg LLC?
- Community Care Center of Vicksburg LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Community Care Center of Vicksburg LLC located?
- Community Care Center of Vicksburg LLC's practice location on file with NPPES is 3103 Wisconsin Ave, Vicksburg, MS 39180-4825.
- What is Community Care Center of Vicksburg LLC's phone number?
- The practice phone number listed in the NPPES registry for Community Care Center of Vicksburg LLC is (601) 638-1514.
- Does Community Care Center of Vicksburg LLC accept Medicare?
- Community Care Center of Vicksburg LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Community Care Center of Vicksburg LLC?
- The authorized official listed on Community Care Center of Vicksburg LLC's NPPES record is Toni Parkinson, Admin. Asst.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care Center of Vicksburg LLC's NPI active?
- Yes — Community Care Center of Vicksburg LLC's NPI (1225086374) is active in the NPPES registry as of the last update on 2013-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.