Southwest Louisiana Veterans Home
Organization Active NPI Skilled Nursing Facility · Jennings, LA
NPI 1306948682 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1306948682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 03-134 (LA)
- Legal business name
- SOUTHWEST LOUISIANA VETERANS HOME
- Practice address
- 1610 Evangeline Rd
Jennings, LA 70546-3922 - Phone
- (337) 824-2829
- Fax
- (337) 824-2581
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Matthew Dave Duhon, MBA, NFA
- Title
- Long-Term Care Administrator
- Phone
- (337) 824-2829
Owners & managing parties with NPI records 1
Facilities with the same owner 3
Practitioners 2
-
Mary S Gathe, LCSW
-
Julie Mouton, LCSW
Affiliated clinicians 1
Medicare Care Compare: Nursing home
- Listed as
- Southwest Louisiana War Veterans Home
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare
- Ownership
- Government - State
- Certified
- Nov 16, 2004
- Medicare certification status
- Active
- Certified beds
- 8 · 6.4 residents per day on average
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1029088 | Southwest Louisiana War Veterans Home | Certificate of waiver | Aug 9, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Skilled nursing facility certification: CCN 195608
- Legal name
- SOUTHWEST LOUISIANA VETERANS HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF (Medicare) only
- Participating since
- Nov 16, 2004
- Last certification
- Jul 24, 2024
- Beds
- 8
- Ownership / control type
- State
- Organization structure
- Government · Non-profit
- Enrollment address
- 1610 Evangeline Rd
Jennings, LA 70546-3922 - Nursing home name
- SOUTHWEST LOUISIANA WAR VETERANS HOME
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Darla Price |
Corporate Director |
Apr 26, 2022 | 100% |
| Adp of the SNF | Jan 8, 2025 | ||
| State of la, Dept of Veterans Affairs |
5% Or Greater Direct Ownership Interest | Nov 15, 2004 | |
| Adp of the SNF | Jan 8, 2025 | ||
| Susan B Ieyoub |
Operational/Managerial Control | Jan 17, 2025 | |
| Adp of the SNF | Jan 17, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040726000402 | LA | Part a Provider - Skilled Nursing Facility | 6204816507 | Practice locations: Jennings, LA |
National Provider Directory
Locations
1610 Evangeline Hwy
Jennings, LA 70546
Phone (337) 824-2829
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | |||
| Skilled Nursing Facility | 314000000X | 03-134 | LA | Yes |
Addresses
Primary practice location
1610 Evangeline Rd
Jennings, LA 70546-3922
Mailing address
1610 Evangeline Rd
Jennings, LA 70546-3922
Phone (337) 824-2829
Other providers in Jennings, LA
- Angela P Soileau
- Meghan Sonnier
- Mitchell Morris Sonnier
- Southern Home Care Services, Inc
- Southwest Hospice Services LLC
- Southwest Surgery Associates, LLC
- Lanore Spain
- Spring Speech Therapy LLC
- Brittany F Stanford
- Stat Family Care of Jennings, LLC
All providers in Jennings, LA · Skilled Nursing Facility in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.