NPIMap

Organization Active NPI

Louisiana War Veterans Home

  • Skilled Nursing Facility
  • Jackson, LA
National Provider Identifier
1174732333
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LOUISIANA WAR VETERANS HOME
Practice address
4739 Highway 10
Jackson, LA 70748
Phone
(225) 634-5265
Fax
(225) 634-4057
NPI assigned
May 22, 2007
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Mr. Jon David Salter, NFA
Title
Administrator
Phone
(225) 634-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

4739 Highway 10
Jackson, LA 70748

Mailing address

4739 Highway 10
Jackson, LA 70748
Phone (225) 634-5265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080428000533 LA Part A Provider - Skilled Nursing Facility 2264510460 Practice locations: Jackson, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174732333. Details of each certification follow.

Skilled nursing facility certification: CCN 195629

Legal name
LOUISIANA WAR VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Feb 20, 2009
Last certification
Sep 9, 2024
Beds
139 (10 certified)
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
4739 Highway 10
Jackson, LA 70748-3509
Nursing home name
LOUISIANA WAR VETERANS HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Louisiana War Veterans HomeCCN 195629 · All quality measures
Overall star rating
4 of 5
Health inspections
5 of 5
Staffing
1 of 5
Type
Medicare
Ownership
Government - State
Certified
Feb 20, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Gustave Frenche Individual Corporate OfficerAsst. Administrator Sep 20, 2002 100%
Corporate Director Oct 7, 2019
W-2 Managing Employee Oct 7, 2019
State of la, Dept of Veterans Affairs Organization, Baton Rouge, LA 5% Or Greater Direct Ownership Interest Mar 29, 1982
Ashlyn Hilburn Individual Corporate OfficerAdministrator Nov 26, 2016 100%
Corporate DirectorAdministrator Nov 26, 2016 100%

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1174732333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 HIGHWAY 10",
            "city": "JACKSON",
            "state": "LA",
            "postal_code": "70748",
            "telephone_number": "225-634-5265",
            "fax_number": "225-634-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 HIGHWAY 10",
            "city": "JACKSON",
            "state": "LA",
            "postal_code": "70748",
            "telephone_number": "225-634-5265",
            "fax_number": "225-634-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA WAR VETERANS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "SALTER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-634-5265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NFA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, LA

Sources for this page

Verify at the official NPI Registry.