NPIMap

Organization Active NPI

River Oaks Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Baker, LA
National Provider Identifier
1154081263
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIVER OAKS NURSING & REHABILITATION CENTER LLC
Doing business as
River Oaks Nursing & Rehabilitation Center LLC
Practice address
3612 Baker Blvd
Baker, LA 70714-2513
Phone
(225) 778-0573
NPI assigned
Dec 30, 2021
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 Price
Title
Ceo
Phone
(318) 628-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3612 Baker Blvd
Baker, LA 70714-2513

Mailing address

3612 Baker Blvd
Baker, LA 70714-2513

Other names 1

  • RIVER OAKS NURSING & REHABILITATION CENTER LLC 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
O20220207001653 LA Part A Provider - Skilled Nursing Facility 5597158956 Practice locations: Baker, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154081263. Details of each certification follow.

Skilled nursing facility certification: CCN 195561

Legal name
RIVER OAKS NURSING & REHABILITATION CENTER LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 23, 2002
Last certification
Aug 21, 2024
Beds
132
Ownership / control type
Corporation
Multi-facility organization
Central Management
Organization structure
LLCProprietary
Enrollment address
3612 Baker Blvd
Baker, LA 70714-2513
Nursing home name
RIVER OAKS NURSING & REHABILITATION CENTER LLC
Affiliated entity
CENTRAL MANAGEMENT COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
River Oaks Nursing & Rehabilitation Center LLCCCN 195561 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 23, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132130.2 residents per day on average
Chain
Central Management Company21 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $17,388

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

3612 Baker Blvd
Baker, LA 70714
Phone (225) 778-0573

Ownership & related parties

All disclosed owners & managing parties 21

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 Jun 1, 1997
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
Individual Adp of the SNF Jan 1, 2022
Individual Adp of the SNF Jan 1, 2022
Brock Napuin Individual Adp of the SNF Mar 17, 2025
Teddy R Price Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 55%
Operational/Managerial ControlCeo/Managing Member of Managemen Jan 1, 2022 100%
Adp of the SNF Jan 1, 2022
Indirect Ownership Interest Jan 1, 2022 55%
Central Management Company, LLC Organization, Winnfield, LA LLC, Management services company, Chain home office Operational/Managerial Control Jan 1, 2022 100%
Adp of the SNF Apr 1, 2025
Individual Adp of the SNF Jan 1, 2011
Organization, Lake Charles, LA LLC Adp of the SNF Apr 1, 2025
Dawn Rogers Individual Adp of the SNF Mar 1, 1993
Organization, Winnfield, LA LLC, Holding company Adp of the SNF Jan 1, 2022
Sheila M Bolwahnn Individual Adp of the SNF Dec 1, 2008
Individual Adp of the SNF Mar 17, 2025
James Shelton Individual Adp of the SNF Jan 1, 2022
Organization, Winnfield, LA LLC, Consulting firm Adp of the SNF Apr 1, 2025
Kisatchie Industries LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2022 45%
Adp of the SNF Jan 1, 2022
Organization, Lake Charles, LA LLC, Consulting firm Adp of the SNF Apr 1, 2025
Hancock Whitney Bank Organization, Gulfport, MS Financial institution 5% Or Greater Mortgage Interest Dec 30, 2021 85.3%
Kisatchie Health, LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2022 55%
Adp of the SNF Jan 1, 2022
Teddy R & Susan R Burnum Price Inv TR Fbo Jacqueline E Price Et Al Organization, Winnfield, LA 5% Or Greater Indirect Ownership Interest Jan 1, 2022 45%
Adp of the SNF Jan 1, 2022

Facilities with the same owner 24

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

View all 24

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 3

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1154081263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 BAKER BLVD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707142513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 BAKER BLVD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707142513",
            "telephone_number": "225-778-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OAKS NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-628-4116"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "RIVER OAKS NURSING & REHABILITATION CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIVER OAKS NURSING & REHABILITATION CENTER LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.