NPIMap

Organization Active NPI

Landmark Nursing Center of West Monroe LLC

Doing business as Landmark Nursing & Rehabilitation Center of West Monroe

  • Skilled Nursing Facility
  • West Monroe, LA
National Provider Identifier
1093796138
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
689 Issued in LA
Legal business name
LANDMARK NURSING CENTER OF WEST MONROE LLC
Doing business as
Landmark Nursing & Rehabilitation Center of West Monroe
Practice address
1611 Wellerman Rd
West Monroe, LA 71291-7426
Phone
(318) 396-3313
Fax
(318) 396-3365
NPI assigned
Nov 7, 2005
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
Mr. Teddy Ray Price
Title
Managing Member
Phone
(318) 628-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 689 LA Primary

Addresses

Primary practice location

1611 Wellerman Rd
West Monroe, LA 71291-7426

Mailing address

1611 Wellerman Rd
West Monroe, LA 71291-7426
Phone (318) 396-3313

Other identifiers 1

IdentifierTypeStateIssuer
1520799MedicaidLA

Other names 1

  • Landmark Nursing & Rehabilitation Center of West Monroe 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
O20100111000828 LA Part A Provider - Skilled Nursing Facility 5890836944 Practice locations: West Monroe, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093796138. Details of each certification follow.

Skilled nursing facility certification: CCN 195438

Legal name
LANDMARK NURSING CENTER OF WEST MONROE LLC
Doing business as
LANDMARK NURSING AND REHABILITATION CENTER OF WEST MONROE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 1, 1997
Last certification
Jan 15, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Central Management Company
Organization structure
LLCProprietary
Enrollment address
1611 Wellerman Rd
Landmark Nursing & Rehabilitati
West Monroe, LA 71291-7426
Nursing home name
LANDMARK NURSING & REHABILITATION CTR OF WEST MON
Affiliated entity
CENTRAL MANAGEMENT COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Landmark Nursing & Rehabilitation Ctr of West MonCCN 195438 · All quality measures
Overall star rating
2 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140114.1 residents per day on average
Chain
Central Management Company21 facilities in the chain
Penalties (3 years)
2Fines totaling $20,869

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
19D0912457Landmark Nursing & Rehab Ctr W Monroe1611 Wellerman Road, West Monroe, LA 71291Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

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 Adp of the SNF Apr 4, 2025
Teddy D Price Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Jeffrey Lee Cantrell Individual Adp of the SNF Oct 1, 2013
Direct Ownership Interest Apr 4, 2025
Prico, Inc Organization, Winnfield, LA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 1997 29%
Adp of the SNF Feb 1, 2001
Teddy R Price Individual 5% Or Greater Indirect Ownership Interest Oct 1, 1997 65.67%
Operational/Managerial ControlManaging Member Oct 1, 1997 100%
Adp of the SNF Feb 1, 2001
Individual Adp of the SNF Oct 1, 1997
Central Management Company, LLC Organization, Winnfield, LA LLC, Management services company, Chain home office Operational/Managerial Control Oct 1, 1997 100%
Adp of the SNF Apr 4, 2025
William Henry Ledbetter Jr Estate Organization, Bossier City, LA 5% Or Greater Direct Ownership Interest May 26, 2025 20%
Adp of the SNF May 26, 2025
Organization, Winnfield, LA LLC, Holding company Adp of the SNF Feb 1, 2001
Individual Adp of the SNF Apr 4, 2025
Individual Adp of the SNF Oct 1, 1997
Rebecca Lewis Individual Adp of the SNF Mar 26, 2025
Individual Adp of the SNF Jan 1, 2010
Dawn Rogers Individual Adp of the SNF Oct 1, 1997
Organization, Lake Charles, LA LLC Adp of the SNF Apr 4, 2025
Individual Adp of the SNF Jan 1, 2011
Sheila M Bolwahnn Individual Adp of the SNF Dec 1, 2008
James Shelton Individual Adp of the SNF Oct 1, 1997
Organization, Lake Charles, LA LLC, Consulting firm Adp of the SNF Apr 4, 2025
Individual Adp of the SNF Apr 4, 2025
Organization, Winnfield, LA LLC, Consulting firm Adp of the SNF Apr 4, 2025
Kisatchie Health, LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 1997 51%
Adp of the SNF Feb 1, 2001
Freda P Zimmerman Individual 5% Or Greater Indirect Ownership Interest Mar 31, 2025 7.33%
Adp of the SNF Mar 31, 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 3

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1093796138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WELLERMAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917426",
            "telephone_number": "318-396-3313",
            "fax_number": "318-396-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WELLERMAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917426",
            "telephone_number": "318-396-3313",
            "fax_number": "318-396-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK NURSING CENTER OF WEST MONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520799",
            "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": "Landmark Nursing & Rehabilitation Center of West Monroe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Landmark Nursing & Rehabilitation Center of West Monroe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.