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TISHOMINGO COMMUNITY CARE CENTER, LLC

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Company Details

Name: TISHOMINGO COMMUNITY CARE CENTER, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Aug 2000 (25 years ago)
Business ID: 690351
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 762 AVERY BLVD NORTHRIDGELAND, MS 39157
Fictitious names: TISHOMINGO MANOR
Historical names: Tishomingo Manor DBA
TISHOMINGO MANOR

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232

Member

Name Role Address
The Elton G. Beebe, Sr. Irrevocable Grandchildrens Trust LLC Member 763 Avery Blvd North, Ridgeland, MS 39157
The Elton G. Beebe Sr Irrevocable Children's Trust Member 763 Avery Blvd North, Ridgeland, MS 39157
David Stallard Member 762 AVERY BLVD. NORTH, RIDGELAND, MS 39157

Manager

Name Role Address
Providence Care, LLC Manager 762 AVERY BLVD. NORTH, RIDGELAND, MS 39157

National Provider Identifier

NPI Number:
1194773515

Authorized Person:

Name:
MRS. TONI PARKINSON
Role:
AUTHORIZED REPRESENTATIVE
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
6624239121

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-17 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Fictitious Name Registration Filed 2024-10-21 Fictitious Name Registration For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2024-04-09 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2023-04-13 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2022-04-11 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2021-04-07 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2020-03-26 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Fictitious Name Registration Filed 2019-07-12 Fictitious Name Registration For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2019-04-11 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2018-03-26 Annual Report For TISHOMINGO COMMUNITY CARE CENTER, LLC

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website