Active NPI
Riverside Nursing Home, LLC
- Skilled Nursing Facility
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 957
- Legal business name
- RIVERSIDE NURSING HOME, LLC
- Practice address
- 7950 Millhaven Road
Monroe, LA 71203-9008 - Phone
- (318) 737-1117
- Fax
- (318) 388-2909
- NPI assigned
- Oct 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Delatte
- Title
- Comptroller
- Phone
- (225) 664-6697
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 957 | LA | Primary |
Addresses
Primary practice location
7950 Millhaven Road
Monroe, LA 71203-9008
Mailing address
301 Veterans Blvd
Denham Springs, LA 70726-4722
Phone (225) 664-6697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517810 | Medicaid | LA |
Other names 1
- OUACHITA HEALTHCARE AND REHABILIATION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080919000229 | LA | Part A Provider - Skilled Nursing Facility | 3779650544 | Practice locations: Monroe, LA |
Skilled nursing facility certification: CCN 195531
- Legal name
- RIVERSIDE NURSING HOME, LLC
- Doing business as
- OUACHITA HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- Sep 26, 2001
- Last certification
- Mar 11, 2025
- Beds
- 167
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Plantation Management Company
- Organization structure
- LLC
- Enrollment address
- 7950 Millhaven Road
Monroe, LA 71202 - Nursing home name
- OUACHITA HEALTHCARE AND REHABILITATION CENTER
- Affiliated entity
- PLANTATION MANAGEMENT COMPANY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ouachita Healthcare and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 26, 2001
- Medicare certification status
- Active
- Certified beds
- 167
- Chain
- Plantation Management Company
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Cynthia S Quirk | 5% Or Greater Direct Ownership Interest | Sep 1, 2008 | |
| Corporate Director | Sep 1, 2008 | ||
| Kimberly W Delatte | Corporate Director | Sep 1, 2008 | |
| Plantation Management Company, LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2014 | 100% |
| Operational/Managerial Control | Sep 1, 2008 | ||
| Gene Quirk | 5% Or Greater Direct Ownership Interest | Sep 1, 2008 | |
| Corporate Director | Sep 1, 2008 | ||
| Scott Quirk | Corporate Director | Sep 1, 2008 | |
| Operational/Managerial Control | Sep 1, 2008 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1083651905
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Denham Springs, LA
- NPI 1194768762
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Pineville, LA
- NPI 1619915287
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Hammond, LA
- NPI 1780621193
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Mansura, LA
- NPI 1982177820
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Denham Springs, LA
- NPI 1982641395
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1194501999
Plantation Management Company, LLC
-
- Skilled Nursing Facility
- Lafayette, LA
- NPI 1184916520
Plantation Management Company, LLC
-
- Skilled Nursing Facility
- Minden, LA
- NPI 1396344941
Plantation Management Company, LLC
-
- Skilled Nursing Facility
- Mansura, LA
- NPI 1982177820
Plantation Management Company, LLC
-
- Skilled Nursing Facility
- New Roads, LA
- NPI 1487692059
Plantation Management Company, LLC
-
- Skilled Nursing Facility
- Harahan, LA
- NPI 1346486628
Plantation Management Company, LLC
-
- Skilled Nursing Facility
- Baton Rouge, LA
- NPI 1376582791
Plantation Management Company, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Monroe, LA
- NPI 1841383221
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Monroe, LA
- NPI 1841383221
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378339200000",
"number": "1245514546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 VETERANS BLVD",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707264722",
"telephone_number": "225-664-6697",
"fax_number": "225-667-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 MILLHAVEN ROAD",
"city": "MONROE",
"state": "LA",
"postal_code": "712039008",
"telephone_number": "318-737-1117",
"fax_number": "318-388-2909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE NURSING HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2013-09-05",
"status": "A",
"authorized_official_last_name": "DELATTE",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "225-664-6697"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517810",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OUACHITA HEALTHCARE AND REHABILIATION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.