Vicksburg Healthcare LLC
NPI 1568400604ActiveOrganization· Skilled Nursing Facility· Vicksburg, MS
Skilled Nursing Facility in Vicksburg, Mississippi, registered in NPPES in June 2006, part of Vicksburg Healthcare LLC. The authorized official on file is Laurie Holtsford, Director, Business Office Services.
Overview
| NPI | 1568400604 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vicksburg Healthcare LLC |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Nov 6, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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