Clc of Jackson, LLC
NPI 1689664765 · Skilled Nursing Facility · Jackson, MS
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clc of Jackson, LLC is a Skilled Nursing Facility organization in Jackson, MS (NPI 1689664765).
Provider details
- NPI number
- 1689664765
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Douglas Wright, Managing Member(662) 680-3148
- License
- 612 (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
- Pleasant Hills Community Living Center
Registry dates
- Enumerated
- 2005-10-28
- Last updated
- 2020-08-22
Frequently asked questions
- What is Clc of Jackson, LLC's NPI number?
- Clc of Jackson, LLC's National Provider Identifier (NPI) is 1689664765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clc of Jackson, LLC?
- Clc of Jackson, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Clc of Jackson, LLC located?
- Clc of Jackson, LLC's practice location on file with NPPES is 1600 Raymond Rd, Jackson, MS 39204-4203.
- What is Clc of Jackson, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clc of Jackson, LLC is (601) 371-1700.
- Does Clc of Jackson, LLC accept Medicare?
- Clc of Jackson, 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 Clc of Jackson, LLC?
- The authorized official listed on Clc of Jackson, LLC's NPPES record is Douglas Wright, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clc of Jackson, LLC's NPI active?
- Yes — Clc of Jackson, LLC's NPI (1689664765) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.