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COMMUNITY CARE CENTER OF VICKSBURG LLC

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Company Details

Name: COMMUNITY CARE CENTER OF VICKSBURG LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Nov 2003 (22 years ago)
Business ID: 741365
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 762 AVERY BLVD NORTHRIDGELAND, MS 39157
Fictitious names: HERITAGE HOUSE OF VICKSBURG
Historical names: Heritage House Nursing Center DBA
HERITAGE HOUSE OF VICKSBURG

Agent

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

Member

Name Role Address
Medico LLC Member 762 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:
1225086374

Authorized Person:

Name:
MRS. TONI PARKINSON
Role:
ADMIN. ASST.
Phone:

Taxonomy:

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

Contacts:

Fax:
6016388738

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-24 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Fictitious Name Registration Filed 2024-10-21 Fictitious Name Registration For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2024-04-09 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2023-04-12 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2022-04-11 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2021-04-05 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2020-03-26 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Fictitious Name Registration Filed 2019-07-12 Fictitious Name Registration For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2019-04-11 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC
Annual Report LLC Filed 2018-03-13 Annual Report For COMMUNITY CARE CENTER OF VICKSBURG LLC

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Date of last update: 30 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website