NPIMap

Organization Active NPI

Versailles Healthcare LLC

Doing business as Matthews Memorial Health Care Center

  • Skilled Nursing Facility
  • Alexandria, LA
National Provider Identifier
1144553603
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VERSAILLES HEALTHCARE LLC
Doing business as
Matthews Memorial Health Care Center
Practice address
5100 Jackson Street Ext
Alexandria, LA 71303-2317
Phone
(318) 445-5215
Fax
(318) 442-8067
NPI assigned
Sep 15, 2009
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Mr. David W Stallard
Title
Manager Representative
Phone
(601) 956-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5100 Jackson Street Ext
Alexandria, LA 71303-2317

Mailing address

5100 Jackson Street Ext
Alexandria, LA 71303-2317
Phone (318) 445-5215

Other identifiers 2

IdentifierTypeStateIssuer
385H00000XOtherLARESPITE CARE
1514624MedicaidLA

Other names 1

  • Matthews Memorial Health Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091027000553 LA Part A Provider - Skilled Nursing Facility 8426195272 Practice locations: Alexandria, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144553603. Details of each certification follow.

Skilled nursing facility certification: CCN 195600

Legal name
VERSAILLES HEALTHCARE LLC
Doing business as
MATTHEWS MEMORIAL HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 2004
Last certification
Sep 10, 2024
Beds
124
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Pathway Management of
Organization structure
LLCProprietary
Enrollment address
5100 Jackson St Ext
Alexandria, LA 71303-2317
Nursing home name
MATTHEWS MEMORIAL HEALTH CARE CENTER
Affiliated entity
THE BEEBE FAMILY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Matthews Memorial Health Care CenterCCN 195600 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12488.8 residents per day on average
Chain
The Beebe Family48 facilities in the chain
Penalties (3 years)
1Fines totaling $36,140

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

5100 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 445-5215

Ownership & related parties

All disclosed owners & managing parties 31

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 Jan 1, 2025 1.21%
Individual Indirect Ownership Interest Mar 31, 2025 3.64%
Annie Mae Matthews Properties, LLC Organization, Winnfield, LA 5% Or Greater Indirect Ownership Interest Oct 1, 2009 52%
Adp of the SNF Sep 18, 2025
QSST TR for Alison Beebe Sadler Danos and Her Descendants Organization, Ridgeland, MS LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2013 16%
Medico LLC Organization, Ridgeland, MS LLC 5% Or Greater Direct Ownership Interest Oct 1, 2009 42%
Operational/Managerial Control Oct 1, 2009
Robert L. Levy, D.D.S., L.L.C. Organization, Alexandria, LA LLC Adp of the SNF Apr 1, 2018
5100 Jackson Street Properties, LLC Organization, Winnfield, MS LLC Adp of the SNF Jan 1, 2025
Individual Indirect Ownership Interest Mar 31, 2025 1.21%
Account Management Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Elton G Beebe Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2009 16%
Operational/Managerial Control Oct 1, 2009
Four Generations Holdings LLC Organization, Ridgeland, MS LLC Adp of the SNF Jan 1, 2025
Audrey Jones Individual Operational/Managerial Control May 25, 2011
Adp of the SNF Sep 18, 2025
Individual Indirect Ownership Interest Mar 31, 2025 3.64%
James Shelton Individual 5% Or Greater Indirect Ownership Interest Oct 1, 2009 10.4%
Elizabeth Wilson Individual Operational/Managerial Control Aug 27, 2018
Adp of the SNF Aug 27, 2018
Verdin Enterprises, LLC Organization, Lisbon, LA Corporation, Consulting firm Adp of the SNF Nov 1, 2021
Toni H Parkinson Individual Corporate OfficerPresident Jul 1, 2011
Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Provider Professional Services Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
Daniel Renois Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
Administrative Systems Inc Organization, Ridgeland, MS Corporation Operational/Managerial Control Jan 1, 2010
Adp of the SNF Jan 1, 2010
David W Stallard Individual Operational/Managerial Control Oct 1, 2009
Adp of the SNF Oct 1, 2009
Bobby L Beebe Individual Operational/Managerial Control Jan 1, 2013
Providence Care LLC Organization, Mandeville, LA LLC, For-profit Operational/Managerial Control Oct 1, 2009
Adp of the SNF Oct 1, 2009
Individual Indirect Ownership Interest Jan 1, 2025 1.21%
Tristar Rehab Inc Organization, Homosassa, FL Corporation Operational/Managerial Control Jan 1, 2024
Adp of the SNF Jan 1, 2024
Kisatchie Health, LLC Organization, Winnfield, LA Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2009 30.68%
Adp of the SNF Jan 1, 2025
Pathway Management of Louisiana LLC Organization, Ridgeland, MS LLC, For-profit Operational/Managerial Control Jan 1, 2013
QSST TR for Felicia Beebe Stallard and Her Descendants Organization, Ridgeland, MS 5% Or Greater Indirect Ownership Interest Nov 1, 2013 16%
Elton G Beebe Family Mortage Trust Organization, Ridgeland, MS Adp of the SNF Jan 1, 2025
Pharmaceutical Consulting Services of America LLC Organization, Baton Rouge, LA LLC Adp of the SNF Dec 31, 2010
LTC Him Consulting Inc Organization, Church Point, LA Corporation Adp of the SNF Oct 1, 2009

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 74

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

View all 74

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": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1144553603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032317",
            "telephone_number": "318-445-5215",
            "fax_number": "318-442-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032317",
            "telephone_number": "318-445-5215",
            "fax_number": "318-442-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSAILLES HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "STALLARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER REPRESENTATIVE",
        "authorized_official_telephone_number": "601-956-8884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE CARE",
            "identifier": "385H00000X",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514624",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Memorial Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.