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COLLINS COMMUNITY CARE CENTER, LLC

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Company Details

Name: COLLINS COMMUNITY CARE CENTER, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Aug 2000 (25 years ago)
Business ID: 690352
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 762 AVERY BLVD NORTHRIDGELAND, MS 39157
Fictitious names: COVINGTON COUNTY NURSING CENTER
LANDMARK OF COLLINS
Historical names: Covington County Nursing Center DBA
Landmark of Collins
COVINGTON COUNTY NURSING CENTER

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
Medico, LLC 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 763 AVERY BLVD. NORTH, RIDGELAND, MS 39157

National Provider Identifier

NPI Number:
1215985734

Authorized Person:

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

Taxonomy:

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

Contacts:

Fax:
6017654716

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-24 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Fictitious Name Registration Filed 2024-10-18 Fictitious Name Registration For COLLINS COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2024-04-09 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2023-04-14 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2022-04-11 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2021-04-05 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2020-03-27 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Fictitious Name Registration Filed 2019-07-10 Fictitious Name Registration For COLLINS COMMUNITY CARE CENTER, LLC
Annual Report LLC Filed 2019-04-11 Annual Report For COLLINS COMMUNITY CARE CENTER, LLC
Fictitious Name Assignment Filed 2018-10-30 Fictitious Name Assignment For COLLINS COMMUNITY CARE CENTER, LLC

OSHA's Inspections within Industry

Inspection Summary

Date:
2012-05-17
Type:
Planned
Address:
1207 SOUTH FUR P.O. BOX 1089, COLLINS, MS, 39428
Safety Health:
Health
Scope:
Complete

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Date of last update: 23 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website