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Organization Active NPI

PMG Opco - Monroe LLC

  • Skilled Nursing Facility
  • Monroe, LA
National Provider Identifier
1134089972
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PMG OPCO - MONROE LLC
Practice address
2301 Sterlington Rd
Monroe, LA 71203-3045
Phone
(318) 323-3426
Fax
(318) 398-2674
NPI assigned
Nov 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Steven Boulware
Title
Managing Member
Phone
(972) 428-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2301 Sterlington Rd
Monroe, LA 71203-3045

Mailing address

2301 Sterlington Rd
Monroe, LA 71203-3045
Phone (318) 323-3426

Other names 1

  • ST. JOSEPH SKILLED NURSING AND REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219001535 LA Part A Provider - Skilled Nursing Facility 6406336262 Practice locations: Monroe, LA

Skilled nursing facility certification: CCN 195359

Legal name
PMG OPCO - MONROE LLC
Doing business as
ST. JOSEPH SKILLED NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 6, 1995
Last certification
Oct 3, 2024
Beds
130
Ownership / control type
Partnership
Most recent change of ownership
Dec 1, 2025
Organization structure
LLCProprietary
Enrollment address
2301 Sterlington Rd
Monroe, LA 71203-3045
Nursing home name
ST JOSEPH SKILLED NURSING AND REHABILITATION
Affiliated entity
PRIORITY MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
St Joseph Skilled Nursing and RehabilitationCCN 195359
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Nov 6, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13088.0 residents per day on average
Chain
Priority Management38 facilities in the chain
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Douglas B Boulware Individual Indirect Ownership Interest Dec 1, 2025 4.17%
Katie B Walker Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 8.33%
Adp of the SNF Dec 1, 2025
Thomas C Boulware Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 8.33%
Adp of the SNF Dec 1, 2025
Steven Boulware Family Investments LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2025 33.33%
Adp of the SNF Dec 1, 2025
Bridgepointe Finanical Services, LLC Organization, Bossier City, LA LLC Adp of the SNF Dec 1, 2025
Priority Management Group, LLC Organization, Dallas, TX LLC, Management services company, Chain home office Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 31, 2025
Individual Adp of the SNF Dec 31, 2025
Organization, Dallas, TX LLC Adp of the SNF Dec 1, 2025
Individual Adp of the SNF Dec 31, 2025
Organization, Bossier City, LA LLC Adp of the SNF Dec 31, 2025
Steven D Boulware Individual 5% Or Greater Indirect Ownership InterestManaging Member Dec 1, 2025 41.66%
Corporate OfficerManaging Member Dec 1, 2025 100%
Operational/Managerial Control Dec 1, 2025
Adp of the SNF Dec 1, 2025
Parker C Bauder Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 8.33%
Adp of the SNF Dec 1, 2025
Boulware St James LLC Organization, Bossier City, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2025 33.34%
Adp of the SNF Dec 1, 2025
Organization, Dallas, TX LLC Adp of the SNF Dec 31, 2025
Kelly P Bauder Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 8.33%
Adp of the SNF Dec 1, 2025
Madison R Bauder Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 8.33%
Adp of the SNF Dec 1, 2025
William M Bauder Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2025 8.33%
Adp of the SNF Dec 1, 2025
Bauder Family Investments, LLC Organization, Bossier City, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2025 33.33%
Adp of the SNF Dec 1, 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

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": "1763078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1134089972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033045",
            "telephone_number": "318-323-3426",
            "fax_number": "318-398-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033045",
            "telephone_number": "318-323-3426",
            "fax_number": "318-398-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMG OPCO - MONROE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "BOULWARE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-428-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST. JOSEPH SKILLED NURSING AND REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.