NPIMap

Organization Active NPI

Ascension Oaks Nursing & Rehabilitation Center, LLC

Doing business as Ascension Oaks Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Gonzales, LA
National Provider Identifier
1083892392
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ASCENSION OAKS NURSING & REHABILITATION CENTER, LLC
Doing business as
Ascension Oaks Nursing & Rehabilitation Center
Practice address
711 W Cornerview St
Gonzales, LA 70737-3307
Phone
(225) 644-6581
Fax
(225) 644-0373
NPI assigned
Feb 8, 2008
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teddy Ray Price
Title
Managing Member
Phone
(318) 628-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LA Primary

Addresses

Primary practice location

711 W Cornerview St
Gonzales, LA 70737-3307

Mailing address

711 W Cornerview St
Gonzales, LA 70737-3307
Phone (225) 644-6581

Other identifiers 1

IdentifierTypeStateIssuer
1510084MedicaidLA

Other names 1

  • ASCENSION OAKS NURSING & REHABILITATION CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000733 LA Part A Provider - Skilled Nursing Facility 8628156072 Practice locations: Gonzales, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083892392. Details of each certification follow.

Skilled nursing facility certification: CCN 195401

Legal name
ASCENSION OAKS NURSING & REHABILITATION CENTER, LLC
Doing business as
ASCENSION OAKS NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1997
Last certification
Jun 26, 2024
Beds
102
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Central Management Company, LLC
Most recent change of ownership
Feb 1, 2008
Organization structure
LLCProprietary
Enrollment address
711 W. Cornerview Street
Ascension Oaks Nursing & Rehabilitation Center
Gonzales, LA 70737-3307
Nursing home name
ASCENSION OAKS NURSING & REHAB CENTER
Affiliated entity
CENTRAL MANAGEMENT COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ascension Oaks Nursing & Rehab CenterCCN 195401 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10298.9 residents per day on average
Chain
Central Management Company21 facilities in the chain
Penalties (3 years)
2Fines totaling $158,838

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0669090Ascension Oaks Nursing & Rehabilitation Center711 West Cornerview Street, Gonzales, LA 70737Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

711 W Cornerview St
Gonzales, LA 70737
Phone (225) 644-6581

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Individual Indirect Ownership Interest Mar 31, 2025 4.55%
Teddy D Price Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Winnfield, LA LLC, Holding company Adp of the SNF Feb 1, 2008
Individual Adp of the SNF Jan 1, 2011
Jeffrey Lee Cantrell Individual Adp of the SNF Oct 1, 2013
Holly Maumalanga Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2025 5.52%
Adp of the SNF Mar 31, 2025
Prico, Inc Organization, Winnfield, LA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2008 48%
Adp of the SNF Feb 1, 2008
Individual Adp of the SNF Jun 1, 1997
Teddy R Price Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2008 76.27%
Operational/Managerial Control Feb 1, 2008
Adp of the SNF Feb 1, 2008
Indirect Ownership Interest Feb 1, 2008 76.27%
Individual Adp of the SNF Mar 11, 2025
Central Management Company, LLC Organization, Winnfield, LA LLC, Management services company, Chain home office Operational/Managerial Control Feb 1, 2008 100%
Adp of the SNF Feb 1, 2008
Individual Adp of the SNF Feb 1, 2008
Individual Adp of the SNF Jan 1, 2010
Dawn Rogers Individual Adp of the SNF Mar 1, 1993
Sheila M Bolwahnn Individual Adp of the SNF Dec 1, 2008
James Shelton Individual Adp of the SNF Jul 23, 1990
Organization, Winnfield, LA LLC, Consulting firm Adp of the SNF May 23, 2025
Individual Adp of the SNF Mar 11, 2025
Organization, Lake Charles, LA LLC, Consulting firm Adp of the SNF Apr 1, 2025
Kisatchie Health, LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2008 52%
Adp of the SNF Feb 1, 2008
Individual Indirect Ownership Interest Mar 31, 2025 1.52%
Freda P Zimmerman Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2025 12.14%
Adp of the SNF Mar 31, 2025
Organization, Lake Charles, LA LLC Adp of the SNF May 23, 2025

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1083892392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W CORNERVIEW ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373307",
            "telephone_number": "225-644-6581",
            "fax_number": "225-644-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W CORNERVIEW ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373307",
            "telephone_number": "225-644-6581",
            "fax_number": "225-644-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION OAKS NURSING & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-628-4116"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510084",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ASCENSION OAKS NURSING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.