NPIMap

Organization Active NPI

Natchitoches Parish Hospital Service District

  • Skilled Nursing Facility
  • Natchitoches, LA
National Provider Identifier
1194895870
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
208 Issued in LA
Legal business name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Practice address
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone
(318) 214-4200
Fax
(318) 214-4493
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mr. William B McCormick
Title
Cfo
Phone
(318) 214-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 208 LA Primary

Addresses

Primary practice location

501 Keyser Ave
Natchitoches, LA 71457-6018

Mailing address

PO Box 2009
Natchitoches, LA 71457-2009
Phone (318) 214-4200

Other identifiers 2

IdentifierTypeStateIssuer
1512001MedicaidLA
34262OtherLABLUE CROSS SNF

Other names 1

  • NATCHITOCHES REGIONAL MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081125000257 LA Part A Provider - Skilled Nursing Facility 2163322140 Practice locations: Natchitoches, LA

Skilled nursing facility certification: CCN 195213

Legal name
NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 30, 1987
Last certification
Sep 25, 2024
Beds
112
Ownership / control type
Hospital District
Organization structure
OtherProprietary
Enrollment address
708 Keyser Ave
Natchitoches, LA 71457-6043
Nursing home name
COURTYARD OF NATCHITOCHES

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Courtyard of NatchitochesCCN 195213
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Jan 30, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11285.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Natchitoches Parish Hosp15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Ronald Corkern Individual Corporate DirectorBoard Member Aug 1, 2021
John Luster Individual Corporate DirectorBoard Member Aug 1, 2021
Michael Newton Individual Corporate DirectorBoard Chair Aug 1, 2021
Henry Moffett Individual Corporate Director Aug 28, 2024
Damian Kirk Soileau Individual Corporate OfficerCeo Apr 1, 2013
Operational/Managerial Control Mar 1, 2025
Adp of the SNF Sep 9, 2025
Valencia Jones Individual Corporate DirectorBoard Member May 15, 2022
Wayne Halm Individual Corporate DirectorBoard Member Mar 27, 2024
Christopher L Ingram Individual Corporate DirectorBoard Member Aug 1, 2021
Adp of the SNF Sep 9, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Louisiana Extended Care Hospital of NatchitochesNatchitoches, LA, CCN 192035 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 24, 2024
Louisiana Extended Care Hospital of NatchitochesNatchitoches, LA, CCN 19TA35 Hospital 5% Or Greater Direct Ownership Interest (51%) Feb 24, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • LLC-I, LLC
    • Long Term Care Hospital
    • Natchitoches, LA
    • NPI 1083715841

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • LLC-I, LLC
    • Rehabilitation Hospital Unit
    • Natchitoches, LA
    • NPI 1417609975

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Affiliated clinicians 5

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1194895870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572009",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES PARISH HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-214-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512001",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SNF",
            "identifier": "34262",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATCHITOCHES REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NATCHITOCHES REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.