NPIMap

Organization Active NPI

Roseview Nursing and Rehabilitation Center LLC

Doing business as Roseview Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Shreveport, LA
National Provider Identifier
1164708335
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
835 Issued in LA
Legal business name
ROSEVIEW NURSING AND REHABILITATION CENTER LLC
Doing business as
Roseview Nursing and Rehabilitation Center
Practice address
3405 Mansfield Rd
Shreveport, LA 71103-4107
Phone
(318) 222-3100
Fax
(318) 222-3930
NPI assigned
Nov 1, 2011
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 R Price
Title
Managing Member
Phone
(318) 628-4116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 835 LA Primary

Addresses

Primary practice location

3405 Mansfield Rd
Shreveport, LA 71103-4107

Mailing address

3405 Mansfield Rd
Shreveport, LA 71103-4107
Phone (318) 222-3100

Other identifiers 1

IdentifierTypeStateIssuer
52071MedicaidLA

Other names 1

  • ROSEVIEW NURSING AND REHABILITATION CENTER 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
O20111122000243 LA Part A Provider - Skilled Nursing Facility 2163696584 Practice locations: Shreveport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164708335. Details of each certification follow.

Skilled nursing facility certification: CCN 195496

Legal name
ROSEVIEW NURSING AND REHABILITATION CENTER LLC
Doing business as
ROSEVIEW NURSING & REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 15, 2000
Last certification
Oct 2, 2024
Beds
124
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
3405 Mansfield Rd
Shreveport, LA 71103-4107
Nursing home name
ROSEVIEW NURSING AND REHABILITATION CENTER
Affiliated entity
CENTRAL MANAGEMENT COMPANY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Roseview Nursing and Rehabilitation CenterCCN 195496 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 15, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12496.5 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)
1Fines totaling $14,901

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

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
Organization, Winnfield, LA LLC, Consulting firm Adp of the SNF Apr 2, 2025
Individual Adp of the SNF Nov 1, 2011
Teddy D Price Individual Operational/Managerial Control Mar 1, 2025
Adp of the SNF Mar 1, 2025
Organization, Lake Charles, LA LLC Adp of the SNF Apr 2, 2025
Jeffrey Lee Cantrell Individual Adp of the SNF Oct 1, 2013
Teddy R Price Individual 5% Or Greater Indirect Ownership Interest Nov 1, 2011 51%
Operational/Managerial ControlManaging Member of Management Co Nov 1, 2011 100%
Adp of the SNF Nov 1, 2011
Indirect Ownership Interest Nov 1, 2011 51%
Central Management Company, LLC Organization, Winnfield, LA LLC, Management services company, Chain home office Operational/Managerial Control Nov 1, 2011 100%
Adp of the SNF Apr 2, 2025
Individual Adp of the SNF Nov 1, 2011
Dawn Rogers Individual Adp of the SNF Nov 1, 2011
Organization, Lake Charles, LA LLC, Consulting firm Adp of the SNF Apr 2, 2025
Sheila M Bolwahnn Individual Adp of the SNF Nov 1, 2011
James Shelton Individual Adp of the SNF Nov 1, 2011
Kisatchie Industries LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2011 49%
Adp of the SNF Nov 1, 2011
Organization, Winnfield, LA LLC, Holding company Adp of the SNF Nov 1, 2011
Individual Adp of the SNF Mar 18, 2025
Kisatchie Health, LLC Organization, Winnfield, LA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Nov 1, 2011 51%
Adp of the SNF Nov 1, 2011
Individual Adp of the SNF Mar 18, 2025
Individual Adp of the SNF Nov 1, 2011
Edward Killian Individual Adp of the SNF Mar 18, 2025
Individual Adp of the SNF Nov 1, 2011
Teddy R & Susan R Burnum Price Inv TR Fbo Jacqueline E Price Et Al Organization, Winnfield, LA 5% Or Greater Indirect Ownership Interest Nov 1, 2011 49%
Adp of the SNF Nov 1, 2011

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 2

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1164708335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034107",
            "telephone_number": "318-222-3100",
            "fax_number": "318-222-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 MANSFIELD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034107",
            "telephone_number": "318-222-3100",
            "fax_number": "318-222-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVIEW NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "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": "R",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-628-4116"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52071",
            "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": "ROSEVIEW NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.