Clc of Jackson, LLC
NPI 1689664765ActiveOrganization· Skilled Nursing Facility· Jackson, MS
Skilled Nursing Facility in Jackson, Mississippi, registered in NPPES in October 2005. The authorized official on file is Douglas M. Wright, Managing Member. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1689664765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2005 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 612 | MS |
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) | Enrolled Part A Provider - Skilled Nursing Facility (MS) |
|---|
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