NPIMap

Organization Active NPI

La Old Hammond Hwy, LLC

Doing business as Pines Retirement Center of Baton Rouge

  • Skilled Nursing Facility
  • Baton Rouge, LA
National Provider Identifier
1154917771
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LA OLD HAMMOND HWY, LLC
Doing business as
Pines Retirement Center of Baton Rouge
Practice address
14686 Old Hammond Hwy
Baton Rouge, LA 70816-1235
Phone
(225) 272-9339
Fax
(225) 272-4171
NPI assigned
Dec 17, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Mr. Roy B Bridges
Title
Authorized Agent
Phone
(727) 330-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

14686 Old Hammond Hwy
Baton Rouge, LA 70816-1235

Mailing address

24641 US Highway 19 N
Clearwater, FL 33763-5007
Phone (727) 210-0781

Other names 1

  • Pines Retirement Center of Baton Rouge Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210303003251 LA Part A Provider - Skilled Nursing Facility 1355757055 Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154917771. Details of each certification follow.

Skilled nursing facility certification: CCN 195512

Legal name
LA OLD HAMMOND HWY, LLC
Doing business as
PINES RETIREMENT CENTER OF BATON ROUGE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Dec 15, 2000
Last certification
Oct 10, 2024
Beds
85
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Rightcare
Organization structure
LLCProprietary
Enrollment address
14686 Old Hammond Hwy
Baton Rouge, LA 70816-1235
Nursing home name
PINES RETIREMENT CENTER OF BATON ROUGE
Affiliated entity
ARK POST ACUTE NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pines Retirement Center of Baton RougeCCN 195512 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 15, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8556.9 residents per day on average
Chain
Ark Post Acute Network4 facilities in the chain
Penalties (3 years)
1Fines totaling $174,993

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Ark Post Acute Network LLC Organization, Clearwater, FL LLC Operational/Managerial Control Jan 1, 2021 100%
Dane MGMT LLC Organization, Clearwater, FL LLC 5% Or Greater Direct Ownership Interest Jan 1, 2021 23.5%
Kimberly a Justiniano Individual Corporate OfficerAuthorized Agent Jan 1, 2021 25%
Rhc10 LLC Organization, Clearwater, FL LLC 5% Or Greater Direct Ownership Interest Jan 1, 2021 23.5%
Roy B Bridges Individual Corporate OfficerCeo Jan 1, 2021 25%
Toledo Prop MGMT LLC Organization, Clearwater, FL LLC 5% Or Greater Direct Ownership Interest Jan 1, 2021 51%
Joel Scott Stewart Individual W-2 Managing EmployeeExecutive Director Jan 1, 2021 25%

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 1

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 1

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": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1154917771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24641 US HIGHWAY 19 N",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337635007",
            "telephone_number": "727-210-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14686 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161235",
            "telephone_number": "225-272-9339",
            "fax_number": "225-272-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA OLD HAMMOND HWY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "727-330-2801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pines Retirement Center of Baton Rouge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.