Active NPI
Baton Rouge General Medical Center
- Skilled Nursing Facility
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 284
- Legal business name
- BATON ROUGE GENERAL MEDICAL CENTER
- Practice address
- 3600 Florida Blvd
Baton Rouge, LA 70806-3842 - Phone
- (225) 387-7000
- Fax
- (225) 381-6129
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dionne E Viator, CPA, FACHE
- Title
- Sr VP and Cfo
- Phone
- (225) 763-1540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 284 | LA | Primary |
Addresses
Primary practice location
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Mailing address
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Phone (225) 387-7000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720020 | Medicaid | LA | |
| BRG 0065N | Medicaid | AL | |
| 1900065 | Medicaid | NC | |
| 2594830 | Medicaid | OH | |
| 90065 | Other | LA | BLUE CROSS |
| 371609 | Medicaid | AZ | |
| LHVI10 | Other | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210729001027 | LA | Part A Provider - Skilled Nursing Facility | 4082600077 | Practice locations: Baton Rouge, LA |
Skilled nursing facility certification: CCN 195139
- Legal name
- BATON ROUGE GENERAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Jul 15, 1977
- Last certification
- Mar 19, 2025
- Beds
- 54 (2 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 3600 Florida Blvd
Baton Rouge, LA 70806-3842 - Nursing home name
- BATON ROUGE GENERAL MEDICAL CENTER, SNF
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Psychiatric Hospital Unit
- Baton Rouge, LA
- NPI 1184750192
4082600077
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1619504016
4082600077
-
- Rehabilitation Hospital Unit
- Baton Rouge, LA
- NPI 1811023823
4082600077
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
4082600077
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Baton Rouge General Medical Center, SNF
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jul 15, 1977
- Medicare certification status
- Active
- Certified beds
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 19
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Edgardo Tenreiro | W-2 Managing Employee | Oct 1, 2009 | |
| Joe Juban | Corporate Director | Oct 1, 2012 | |
| Roy Kadair | Corporate Director | Oct 1, 2006 | |
| Louis R Minsky | Corporate Director | Apr 1, 2018 | |
| Edgar Starns | Corporate Director | Apr 1, 2018 | |
| Phyliss McLaurin | Corporate Director | Jan 1, 2014 | |
| Kendall a Johnson | Corporate Director | Jun 27, 2011 | |
| W-2 Managing Employee | Jun 27, 2011 | ||
| Venkatram R Banda | Corporate Director | Jan 1, 2011 | |
| Lindsay Shelton | W-2 Managing Employee | Apr 1, 2018 | 100% |
| Carolyn Braud | W-2 Managing Employee | Oct 1, 2016 | |
| Isabelina Nahmens | Corporate Director | Jan 1, 2014 | |
| Andrew Johnson Olinde | Corporate Director | Jan 1, 2011 | |
| Perry Franklin | Corporate Director | Jan 1, 2010 | |
| General Health System | 5% Or Greater Direct Ownership Interest | Oct 1, 2006 | |
| Gary Graphia | Corporate Director | Oct 1, 2011 | |
| Gwen Hamilton | Corporate Director | Apr 1, 2018 | |
| Margaret Hart | Corporate Director | Jan 1, 2011 | |
| Ronnie Williams | Corporate Director | Oct 1, 2011 | |
| Brian Jackson | Corporate Director | Apr 1, 2018 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Vascular Surgery Physician
- Baton Rouge, LA
- NPI 1548370414
Corporate Director
Facilities with the same owner 4
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital Unit
- Baton Rouge, LA
- NPI 1184750192
General Health System
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1619504016
General Health System
-
- Rehabilitation Hospital Unit
- Baton Rouge, LA
- NPI 1811023823
General Health System
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1962537407
General Health System
Practitioners & affiliated clinicians
Practitioners 59
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1548765738
-
- Colon & Rectal Surgery Physician
- Marrero, LA
- NPI 1134482706
-
- Surgery Physician
- Baton Rouge, LA
- NPI 1659302586
-
- Adult Health Nurse Practitioner
- Baton Rouge, LA
- NPI 1033427497
-
- Vascular Surgery Physician
- Baton Rouge, LA
- NPI 1417033739
-
- Surgical Physician Assistant
- New Orleans, LA
- NPI 1952883605
-
- Physician Assistant
- Baton Rouge, LA
- NPI 1295281681
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1083613756
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1215431705
-
- Infectious Disease Physician
- Baton Rouge, LA
- NPI 1295112597
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1689867434
-
- Urology Physician
- Baton Rouge, LA
- NPI 1982996617
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1477539294
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073649083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FLORIDA BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-387-7000",
"fax_number": "225-381-6129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FLORIDA BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-387-7000",
"fax_number": "225-381-6129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BATON ROUGE GENERAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VIATOR",
"authorized_official_first_name": "DIONNE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "SR VP AND CFO",
"authorized_official_telephone_number": "225-763-1540",
"authorized_official_credential": "CPA, FACHE"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720020",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BRG 0065N",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1900065",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2594830",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "90065",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371609",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "LHVI10",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Baton Rouge Foot Care , PC
- Baton Rouge General Diabetes Center
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- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.